| Left ventricular apical thrombus formation in a patient with suspected tako-tsubo-like left ventricular dysfunction. | |
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MedLine Citation:
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PMID: 12808278 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 74-year-old woman with hypertension and bronchial asthma had chest discomfort at rest and 4 days later was admitted to her nearby hospital because of the sudden onset of right hemiparesis. The hemiparesis had almost disappeared within 24 h of onset, but because an electrocardiogram showed sinus tachycardia and diffuse symmetrical T-wave inversion, she was referred for cardiac examination. Coronary angiography did not reveal any significant coronary artery stenosis, but left ventriculography revealed severe hypokinesis of the left ventricular apical region, which contained a 4 x 4-mm solid thrombus moving freely with a wavy motion. Moreover, the activity of both protein C and protein S had decreased. The thrombus disappeared after 2 weeks of anticoagulant treatment with warfarin. Her clinical course suggested that the transient cerebral ischemic attack was caused by embolism of the left ventricular thrombus associated with 'tako-tsubo-like left ventricular dysfunction'. |
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Authors:
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Satoshi Kurisu; Ichiro Inoue; Takuji Kawagoe; Masaharu Ishihara; Yuji Shimatani; Kenji Nishioka; Takashi Umemura; Suji Nakamura; Masashi Yoshida; Hikaru Sato |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Circulation journal : official journal of the Japanese Circulation Society Volume: 67 ISSN: 1346-9843 ISO Abbreviation: Circ. J. Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-06-16 Completed Date: 2004-01-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101137683 Medline TA: Circ J Country: Japan |
Other Details:
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Languages: eng Pagination: 556-8 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Hiroshima City Hospital, Japan. skurisu@nifty.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anticoagulants / therapeutic use Female Heart Diseases / etiology* Heart Ventricles / pathology, radiography Humans Ischemic Attack, Transient / etiology Syndrome Thrombosis / etiology* Ventricular Dysfunction, Left / classification, complications*, physiopathology, radiography Warfarin / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 81-81-2/Warfarin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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