Key result
Mental stress precedes LV apical ballooning and thrombus without significant coronary stenosis in a 74-year-old woman.
Case Report (n=1)
This case report highlights the potential for left ventricular thrombus formation in patients presenting with left ventricular apical ballooning (Takotsubo syndrome).
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LV thrombus may complicate Takotsubo syndrome; single case leaves open questions on incidence and anticoagulation.
A 74-year-old woman who had been experiencing mental stress was admitted to our institution with a history of continuous atypical chest pain. The evolutive ECG showed T wave inversion in leads V2–V6, I AVL and III, with a prolonged QT interval. Mild enzymatic changes were found in blood chemistry examinations. Coronary angiography showed no significant stenosis, but left ventriculography demonstrated apical …
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Robles et al. (2009) conducted a case report in Left ventricular apical ballooning with left ventricular thrombus (n=1). A 74-year-old woman with mental stress and atypical chest pain presented with left ventricular apical ballooning and left ventricular thrombus without significant coronary stenosis.
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