Clinical presentation
Several cases presenting dyspnea, fatigue and symptoms and signs due to
obstructive Hypertrophic Cardiomyopathy have been described8,12; while our patient main complaint was lipothymia,
these other symptoms were also present. Less frequently, asymptomatic
cases have been reported, with clinical presentation being a new heart
murmur identified during follow up 17,18. Although
hypertrophic cardiomyopathy due to tacrolimus is the most frequent type
of cardiomyopathy described, few cases of dilated cardiomyopathy have
been also described 19,20.