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消失性 Takotsubo 心肌病后引起的脑栓塞性脑卒中。

Cerebral embolic stroke after disappearing takotsubo cardiomyopathy.

机构信息

Department of Neurology, Okayama University Graduate School of Medicine, Dentistry and pharmaceutical science, Okayama, Japan.

出版信息

J Stroke Cerebrovasc Dis. 2013 Nov;22(8):e682-3. doi: 10.1016/j.jstrokecerebrovasdis.2013.07.022. Epub 2013 Aug 15.

Abstract

Takotsubo cardiomyopathy can induce cerebral embolic stroke because of intracardiac thrombosis, but the timing of cardiogenic embolism relating to takotsubo cardiomyopathy has not been well described. We evaluated a 71-year-old woman with takotsubo cardiomyopathy, who developed cardiogenic cerebral embolism after recovery of cardiac wall motion. Nevertheless, we treated her with anticoagulation therapy. The present clinical observation suggests that attention should be paid to the timing when takotsubo cardiomyopathy resolves against risk of cardiogenic cerebral embolism.

摘要

心尖球囊样综合征可因心腔内血栓形成而导致脑栓塞,但心尖球囊样综合征相关心源性栓塞的确切时间尚不明确。我们评估了一位 71 岁的女性心尖球囊样综合征患者,该患者在心脏壁运动恢复后发生心源性脑栓塞。然而,我们仍对其进行抗凝治疗。本临床观察提示,在关注心尖球囊样综合征消退时机的同时,还应注意心源性脑栓塞的风险。

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