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Isolated left ventricular non-compaction (LVNC) and recurrent strokes: to anticoagulate or not to anticoagulate, that is the question.
Subahi, Ahmed; Hassan, Abubaker A I; Abubakar, Hossam; Ibrahim, Walid.
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  • Subahi A; Department of Internal Medicine, Wayne State University, Detroit, Michigan, USA.
  • Hassan AAI; Department of Internal Medicine, Wayne State University, Detroit, Michigan, USA.
  • Abubakar H; Department of Internal Medicine, Wayne State University, Detroit, Michigan, USA.
  • Ibrahim W; Department of Internal medicine, Detroit Medical Center, Detroit, Michigan, USA.
BMJ Case Rep ; 20172017 Oct 13.
Article en En | MEDLINE | ID: mdl-29030363
Isolated left ventricular non-compaction (LVNC) is an uncommon primary cardiomyopathy associated with significant risk of thromboembolic stroke. We report a case of a 69-year-old man with a medical history of ischaemic stroke who presented with a stroke for the second time, and during stroke workup transthoracic echo was suggestive of increased apical trabeculation. He underwent cardiac MRI study to evaluate the left ventricular structure, which revealed LVNC cardiomyopathy, which we believe is the main culprit of his recurrent strokes. Given the high risk of stroke recurrence, antiplatelets followed by anticoagulation for secondary prevention were initiated. This case demonstrates the association between LVNC and recurrent stroke, with a literature review trying to address the dilemma facing the clinician to decide on anticoagulation in such patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: No Compactación Aislada del Miocardio Ventricular / Anticoagulantes Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Aged / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: No Compactación Aislada del Miocardio Ventricular / Anticoagulantes Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Aged / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido