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Title: Renal thromboembolism in tako-tsubo cardiomyopathy in spite of anticoagulation
Authors: Bonello Spiteri, Danica
Sammut, Mark Adrian
Xuereb, Robert George
Keywords: Takotsubo cardiomyopathy -- Case studies
Anticoagulants (Medicine)
Coronary angiography
Issue Date: 2011
Publisher: Elsevier
Citation: Bonello Spiteri, D., Sammut, M. A., & Xuereb, R. G. (2011). Renal thromboembolism in tako-tsubo cardiomyopathy in spite of anticoagulation. Journal of Cardiology Cases, 4(2), e67-e70.
Abstract: An elderly lady was admitted with chest pain and an electrocardiogram depicting ST segment elevation, indicative of a myocardial infarction. She was treated with intra-venous tissue plasminogen activator. On coronary angiography there was a dilated and akinetic left ventricular apex but no significant coronary artery disease. She was diagnosed with tako-tsubo cardiomyopathy. An echocardiogram performed two days later demonstrated a thrombus in the left ventricular apex. Despite immediate anticoagulation with intravenous unfractionated heparin, she sustained a renal thromboembolic phenomenon.
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