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Updated: Dec 18, 2025

Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
[Takotsubo cardiomyopathy developing during anagrelide therapy in a patient with essential thrombocythemia]
Takahiro Nagashima1, Shinpei Harada1, Hiroyuki Kimura1
1Department of Internal Medicine and General Medicine, Japanese Red Cross Kitami Hospital.
Abstract:
A 76-year-old woman taking anagrelide (ANA) for essential thrombocythemia (ET) was rushed to the hospital by ambulance because of severe chest pain. Echocardiography revealed apical akinesis with basal and mid-hyperkinesis, and a coronary angiography revealed no significant stenosis in the dominant coronary artery. The patient was diagnosed with takotsubo cardiomyopathy (Tako). Tako is typically believed to be caused by stress; however, no stress was detected except that related to ANA therapy. ANA is useful in treating ET and is known to have severe cardiovascular effects. We must pay careful attention to Tako during ANA therapy.
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