Document Detail

Thromboembolism in Takotsubo cardiomyopathy.
MedLine Citation:
PMID:  18718684     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Most patients with Takotsubo cardiomyopathy show a favorable outcome. Although several complications have been reported, the frequency of thromboembolism has not been clarified. METHODS: Clinical characteristics and complications of 21 consecutive patients (18 female, aged 72 years) with Takotsubo cardiomyopathy during the past 9 years were investigated. RESULTS: The most major complication was heart failure (52%). Thromboembolism was found in 3 patients (14%) and this was the second most frequent cardiovascular complication. One of the 3 patients showed left ventricular thrombus and the other 2 experienced cardioembolic stroke. All 3 patients visited the emergency department more than 48 h after initial chest pain occurred. CONCLUSIONS: This study indicates that thromboembolism is a common complication in the acute phase of Takotsubo cardiomyopathy, and anticoagulation therapy should be performed in all patients until wall motion abnormalities improve. Takotsubo cardiomyopathy should be considered one of the important causes of cardioembolic stroke.
Wataru Mitsuma; Makoto Kodama; Masahiro Ito; Shinpei Kimura; Komei Tanaka; Makoto Hoyano; Satoru Hirono; Yoshifusa Aizawa
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Publication Detail:
Type:  Letter     Date:  2008-08-21
Journal Detail:
Title:  International journal of cardiology     Volume:  139     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  98-100     Citation Subset:  IM    
Copyright Information:
Copyright 2008 Elsevier Ireland Ltd. All rights reserved.
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MeSH Terms
Acute Disease
Heart Ventricles
Middle Aged
Retrospective Studies
Stroke / etiology*
Takotsubo Cardiomyopathy / complications*
Thromboembolism / etiology*

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