Michels, G. and Pfister, R. (2012). De novo left ventricular thrombus during tako-tsubo cardiomyopathy. Dtsch. Med. Wochenschr., 137 (47). S. 2423 - 2427. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413
Full text not available from this repository.Abstract
De novo left ventricular thrombus during tako-tsubo cardiomyopathy History and clinical findings: A 70-year-old woman complained of persistent angina pectoris and exertional dyspnoea after a fierce row with a dog owner. Five days after the conflict she visited our clinic. Investigations: The ECG showed T-wave inversions across the inferior and anterior leads as well as a prolonged QT(c) interval (490 ms). NTproBNP was elevated (6733 ng/l) while troponin T was normal. Echocardiography and ventriculography during cardiac catheterisation demonstrated an impaired left ventricular function (EF 55 %) with apical akinesia. Coronary artery disease was ruled out by coronary angiography. Based on these findings stress-related cardiomyopathy (Tako-tsubo syndrome) was diagnosed. Treatment and clinical course: Guideline-based therapy of heart failure was performed. At control examination 13 days after the initial event left ventricular function had improved but now a new left ventricular apical thrombus was detected. Therefore, oral anticoagulation therapy was started. Conclusion: In cases of tako-tsubo cardiomyopathy with apical akinesia it should be noted that a left ventricular thrombus can develope within few days.
Item Type: | Journal Article | ||||||||||||
Creators: |
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URN: | urn:nbn:de:hbz:38-479723 | ||||||||||||
DOI: | 10.1055/s-0032-1327301 | ||||||||||||
Journal or Publication Title: | Dtsch. Med. Wochenschr. | ||||||||||||
Volume: | 137 | ||||||||||||
Number: | 47 | ||||||||||||
Page Range: | S. 2423 - 2427 | ||||||||||||
Date: | 2012 | ||||||||||||
Publisher: | GEORG THIEME VERLAG KG | ||||||||||||
Place of Publication: | STUTTGART | ||||||||||||
ISSN: | 1439-4413 | ||||||||||||
Language: | German | ||||||||||||
Faculty: | Unspecified | ||||||||||||
Divisions: | Unspecified | ||||||||||||
Subjects: | no entry | ||||||||||||
Uncontrolled Keywords: |
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URI: | http://kups.ub.uni-koeln.de/id/eprint/47972 |
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