KMID : 0390620110190020087
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Journal of Cardiovascular Ultrasound 2011 Volume.19 No. 2 p.87 ~ p.90
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Stress Cardiomyopathy Complicated by Left Ventricular Thrombi and Cerebral Infarctions in a Patient with Essential Thrombocythemia
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Hwang Seung-Hwan
Kim Kye-Hun Yoon Hyun-Ju Hong Young-Joon Kim Ju-Han Ahn Young-Keun Jeong Myung-Ho Cho Jeong-Gwan Park Jong-Chun Kang Jung-Chaee
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Abstract
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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.
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KEYWORD
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Cardiomyopathy, Thrombocythemia, Thromboembolism
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