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Severe disseminated intravascular coagulation caused by congestive heart failure and left ventricular thrombus
Kuo-Tai Chen1, Hung-Jung Lin, Wei-Jing Lee
1Department of Emergency Medicine, Chi-Mei Medical Center, Chi-Mei Foundation Hospital, No. 901 Chung Hwa Road, Yung Kang, Tainan 710, Taiwan.
Insights
A patient
Area of Science:
- Cardiology
- Hematology
Background:
- Disseminated intravascular coagulation (DIC) is a serious condition.
- Myocardial infarction can lead to cardiac complications.
Observation:
- A patient presented with skin manifestations of DIC.
- The patient had a recent anterior myocardial infarction, congestive heart failure, and left ventricular thrombus.
Findings:
- Left ventricular thrombus secondary to myocardial infarction was identified as the cause of DIC.
- Anticoagulant therapy with heparin and warfarin effectively treated both DIC and the left ventricular thrombus.
Implications:
- This case highlights the importance of recognizing skin manifestations of DIC.
- Early diagnosis and treatment of left ventricular thrombus are crucial in preventing systemic complications like DIC.
- Anticoagulant therapy is a viable treatment for DIC secondary to left ventricular thrombus.
Abstract:
We present a patient who visited emergency department owing to the skin manifestation of disseminated intravascular coagulation. Recent anterior myocardial infarction induced congestive heart failure and left ventricular thrombus, which were considered to be the cause of disseminated intravascular coagulation. Anticoagulant therapy with heparin and warfarin was used successfully to treat the disseminated intravascular coagulation and left ventricular thrombus.
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