Apical thrombus in a patient with takotsubo cardiomyopathy

J Cardiovasc Med (Hagerstown). 2008 Aug;9(8):831-3. doi: 10.2459/JCM.0b013e3282f1938b.

Abstract

We report a case of apical thrombus formation among a group of 15 patients with takotsubo cardiomyopathy who were referred for a suspected acute coronary syndrome over a 2.5-year period. To the best of our knowledge, no data are available regarding the treatment of this syndrome. According to current literature and our reported experience, the use of anticoagulant therapy administered until complete resolution of wall motion abnormalities appears to be appropriate to treat apical thrombus formation and any possible subsequent embolism.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Aspirin / administration & dosage*
  • Coronary Angiography
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Echocardiography
  • Female
  • Fibrinolytic Agents / administration & dosage*
  • Follow-Up Studies
  • Heart Diseases / diagnosis
  • Heart Diseases / drug therapy
  • Heart Diseases / etiology
  • Heparin / administration & dosage*
  • Humans
  • Injections, Intravenous
  • Middle Aged
  • Myocardial Contraction
  • Takotsubo Cardiomyopathy / complications*
  • Takotsubo Cardiomyopathy / diagnosis
  • Takotsubo Cardiomyopathy / physiopathology
  • Thrombosis / diagnosis
  • Thrombosis / drug therapy
  • Thrombosis / etiology*

Substances

  • Fibrinolytic Agents
  • Heparin
  • Aspirin