Rechtsventrikulärer Thrombus nach Schrittmacherimplantation bei sekundärem Antiphospholipid-Syndrom
F. Hofgärtner, A. Bader, V. Bürkle, Th. Schmeiser, A. Bösch, H. Sigel · DMW - Deutsche Medizinische Wochenschrift · 1998 · Heft 01/02 · S. 12-16
Bibliografische Angaben
Zusammenfassung
Abstract HISTORY AND ADMISSION FINDINGS: An 85-year-old woman was admitted because of frequent syncopes. She also reported slight weight loss, cough and dyspnoea. Chest auscultation revealed slight stridor and a cardiac arrhythmia, with an irregular ventricular rate between 120 and 140 beats/min. INVESTIGATIONS: She had a thrombocytopenia (96 platelets/nl), and the ECG and long-term monitoring showed a tachyarrhythmia with atrial fibrillation, a bifascicular block (left anterior hemiblock and right bundle branch block), as well typical signs of sick-sinus syndrome with short periods of bradycardic sinus rhythm a…
