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The Consequences of a Heart Condition: Acute Stroke and Limb Ischemia Secondary to Massive Intracardiac Thrombus in a Young Female with Dilated Cardiomyopathy

Heart Science Journal · Vol. 5 No. 3 (2024) · hlm. 71–75

DOI
10.21776/ub/hsj.2024.005.03.13
ISSN
2721-9984, 2721-9976
Terbit
2024-07-30
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background:Dilated cardiomyopathy (DCM) is associated with the increased occurrence of left ventricular (LV) thrombosis caused by cardiac dysfunction. This condition is associated with significant mortality and morbidity because of its significance as a potential source of systemic emboli. We are reporting a case of Acute Stroke and Limb Ischemia in a Young Female Patient with DCM.Case Illustration:A 20-year-old female was referred to our hospital due to pain in her right lower extremities and weakness in her right limb. She had been diagnosed with peripartum cardiomyopathy five years earlier. A general physical examination found her right lower limbs to be cold and pulseless. A neurological examination revealed hemiparesis involving the right side of her body. The chest radiograph showed cardiomegaly. Electrocardiography indicated sinus rhythm with LVH. The transthoracic echocardiograms revealed significant LV systolic failure with a massive thrombus at LV. The Duplex ultrasound showed a thrombus at the right dorsal pedis artery, and a head CT scan revealed an acute infarct. The patient was started on heparin and bridged with warfarin 5mg orally daily, and she was uneventfully discharged after one week.Conclusion:DCM had been associated with thrombosis, stroke, and an increased risk of thromboembolism. Previous studies had documented decreased thromboembolic events due to administering anticoagulants.

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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanAfiliasi tidak diketahui29
Sasmojo WiditoAfiliasi tidak diketahui20
Anna Fuji RahimahAfiliasi tidak diketahui19
Djanggan SargowoAfiliasi tidak diketahui17
Heny MartiniAfiliasi tidak diketahui16
Budi SatrijoAfiliasi tidak diketahui15
Ardian RizalAfiliasi tidak diketahui14
Setyasih AnjarwaniAfiliasi tidak diketahui11
Indra PrasetyaAfiliasi tidak diketahui10
Seprian WidasmaraAfiliasi tidak diketahui4
Adhika Prastya WikanandaAfiliasi tidak diketahui4
Sawitri SatwikajatiAfiliasi tidak diketahui4
Zainal FathurohimAfiliasi tidak diketahui4
Titin Andri WihastutiAfiliasi tidak diketahui4
Yoga WaranugrahaAfiliasi tidak diketahui3
Saskia Dyah HandariAfiliasi tidak diketahui3
Valerinna YogibuanaAfiliasi tidak diketahui3
Ayu Asri Devi AdityawatiAfiliasi tidak diketahui3
Muhammad Rizki FadlanAfiliasi tidak diketahui3
Dyah Ayu IkeningrumAfiliasi tidak diketahui3
Oktafin Srywati PamunaAfiliasi tidak diketahui3
Arif WicaksonoAfiliasi tidak diketahui3
Evit RuspionoAfiliasi tidak diketahui3
Putri Annisa KamilaUniversity of Brawijaya2
Tonny AdriyantoAfiliasi tidak diketahui2
Dadang HendrawanAfiliasi tidak diketahui2
Irma KameliaAfiliasi tidak diketahui2
Ardhani GalihAfiliasi tidak diketahui2
Nikhen NoverikeAfiliasi tidak diketahui2
Teguh AryanugrahaAfiliasi tidak diketahui2
Muhammad FirdausAfiliasi tidak diketahui2
Dedy IrawanAfiliasi tidak diketahui2
Ratna PancasariAfiliasi tidak diketahui2
Fahmy RusnantaAfiliasi tidak diketahui2
Imelda KrisnasariAfiliasi tidak diketahui2
Tri AstiawatiAfiliasi tidak diketahui2
Ira VoriAfiliasi tidak diketahui2

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">The Consequences of a Heart Condition: Acute Stroke and Limb Ischemia Secondary to Massive Intracardiac Thrombus in a Young Female with Dilated Cardiomyopathy</dc:title>
	<dc:creator xml:lang="en">Lestari, Defyna Dwi</dc:creator>
	<dc:creator xml:lang="en">Tjahjono, Cholid Tri</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:subject xml:lang="en">Acute Stroke and Limb Ischemia</dc:subject>
	<dc:subject xml:lang="en">Massive Intracardiac Thrombus</dc:subject>
	<dc:subject xml:lang="en">Young Female</dc:subject>
	<dc:subject xml:lang="en">Dilated Cardiomyopathy.</dc:subject>
	<dc:description xml:lang="en">Background :Dilated cardiomyopathy (DCM) is associated with the increased occurrence of left ventricular (LV) thrombosis caused by cardiac dysfunction. This condition is associated with significant mortality and morbidity because of its significance as a potential source of systemic emboli. We are reporting a case of Acute Stroke and Limb Ischemia in a Young Female Patient with DCM.Case Illustration :A 20-year-old female was referred to our hospital due to pain in her right lower extremities and weakness in her right limb. She had been diagnosed with peripartum cardiomyopathy five years earlier. A general physical examination found her right lower limbs to be cold and pulseless. A neurological examination revealed hemiparesis involving the right side of her body. The chest radiograph showed cardiomegaly. Electrocardiography indicated sinus rhythm with LVH. The transthoracic echocardiograms revealed significant LV systolic failure with a massive thrombus at LV. The Duplex ultrasound showed a thrombus at the right dorsal pedis artery, and a head CT scan revealed an acute infarct. The patient was started on heparin and bridged with warfarin 5mg orally daily, and she was uneventfully discharged after one week.Conclusion :DCM had been associated with thrombosis, stroke, and an increased risk of thromboembolism. Previous studies had documented decreased thromboembolic events due to administering anticoagulants.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2024-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15740</dc:identifier>
	<dc:identifier>10.21776/ub/hsj.2024.005.03.13</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome; 71-75</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2024.005.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15740/425</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2024 Defyna Dwi Lestari, cholid tri tjahjono, Novi Kurnianingsih</dc:rights>
</oai_dc:dc>