Azzarelli Salvatore, Galassi Alfredo R, Amico Francesco, Giacoppo Michele, Argentino Vincenzo, Giordano Guido, Fiscella Antonio
Division of Cardiology, 'Cannizzaro' Hospital, Catania, Italy.
J Cardiovasc Med (Hagerstown). 2008 Aug;9(8):831-3. doi: 10.2459/JCM.0b013e3282f1938b.
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.
我们报告了一组15例应激性心肌病患者中发生心尖血栓形成的病例,这些患者在2.5年的时间里因疑似急性冠状动脉综合征前来就诊。据我们所知,目前尚无关于该综合征治疗的数据。根据当前文献和我们报告的经验,使用抗凝治疗直至室壁运动异常完全消失,似乎适合治疗心尖血栓形成及任何可能随后发生的栓塞。