Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Michels, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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:	Keywords Language TAKOTSUBO CARDIOMYOPATHY; PATIENT Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47972