Key result
Multiple LV thrombi in ischemic cardiomyopathy with 15% LVEF linked to large MCA cardioembolic stroke.
Highlights a clinical presentation of cardioembolic stroke associated with severe ischemic cardiomyopathy and multiple left ventricular thrombi.
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Illustrates cardioembolic stroke in severe ischaemic cardiomyopathy; leaves open optimal anticoagulation strategies pending prospective data.
A 78-year-old man with a known ischaemic cardiomyopathy presented with hypoxaemic respiratory failure and undifferentiated shock. CT head revealed a large middle cerebral artery territory infarct. Transthoracic echocardiography revealed a depressed ejection fraction of 15% and multiple wall motion
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Ali et al. (2021) studied this question. Multiple left ventricular thrombi in a patient with ischemic cardiomyopathy and a 15% ejection fraction resulted in a large middle cerebral artery territory cardioembolic stroke.
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