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JCU 2011 June;19(2) :87-90.
doi:https://doi.org/10.4250/jcu.2011.19.2.87
Stress Cardiomyopathy Complicated by Left Ventricular Thrombi and Cerebral Infarctions in a Patient with Essential Thrombocythemia
Seung Hwan Hwang, Kye Hun Kim, Hyun Ju Yoon, Young Joon Hong, Ju Han Kim, YoungKeun Ahn, Myung Ho Jeong, Jeong Gwan Cho, Jong Chun Park, Jung Chaee Kang
Department of Cardiovascular Medicine, Chonnam National University Hospital, The Research Institute of Medical Sciences, Chonnam National University, Gwangju, Korea
Corresponding Author: Kye Hun Kim ,
ABSTRACT
The prognosis of stress induced cardiomyopathy (SCMP) is generally known to be excellent, however, several fatal complications such as cardiac rupture and left ventricular (LV) thrombosis with subsequent embolic complications have been described. We report a rare case of SCMP complicated by LV thrombosis and multiple cerebral infarctions in a patient with essential thrombocythemia. After intravenous anticoagulation with heparin and general managements for heart failure and cerebral infarctions, her neurologic symptoms and the wall motion abnormalities of the LV apex were improved, and the thrombus was disappeared on follow-up echocardiography.
Keywords: Cardiomyopathy, Thrombocythemia, Thromboembolism.
Volume 25, No 3
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