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Advanced Congestive Heart Failure Associated With Disseminated Intravascular Coagulopathy

Annahita Sarcon1, Xiaoli Liu1, David Ton1

  • 1Scripps Green Hospital, La Jolla, CA, USA.

Journal of Investigative Medicine High Impact Case Reports
|January 21, 2016
PubMed

Insights

Disseminated intravascular coagulopathy (DIC) can arise from severe congestive heart failure, leading to biventricular thrombi. This case highlights an underrecognized association between heart failure and DIC, warranting further investigation.

Area of Science:

  • Cardiology
  • Hematology

Background:

  • Disseminated intravascular coagulopathy (DIC) is a serious complication secondary to underlying conditions like sepsis, trauma, and malignancy.
  • The association between DIC and congestive heart failure (CHF) is infrequently documented in medical literature.

Purpose of the Study:

  • To report a case illustrating the link between severe congestive heart failure and the development of DIC.
  • To emphasize that the connection between CHF and DIC may be underrecognized.

Main Methods:

  • Case report presentation.
  • Review of clinical findings and diagnostic workup for a patient with severe CHF and subsequent DIC.

Main Results:

  • Severe congestive heart failure was identified as the precipitating factor.
  • Biventricular thrombi were found, preceding the onset of DIC.
  • The patient developed DIC secondary to the cardiac condition.

Conclusions:

  • Congestive heart failure can lead to disseminated intravascular coagulopathy, an association that warrants greater clinical recognition.
  • Further research is necessary to understand the complex interplay between coagulation factors and the pathophysiology of congestive heart failure.

Keywords:
congestive heart failuredisseminated intravascular coagulopathy

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