ACUTE LEFT-VENTRICULAR DYSFUNCTION AND LEFT-VENTRICULAR THROMBUS IN APATIENT WITH CEREBRAL-HEMORRHAGE

A 66-year-old woman was admitted to the hospital with a cerebral hemor rhage, An echocardiogram showed severe left ventricular hypokinesis an d a left ventricular thrombus. An electrocardiogram showed ST segment elevation in the precordial leads, The patient's creatine kinase level was elevated, A follow-up echocardiogram performed 1 month after admi ssion showed cd normalization of left ventricular wall motion and disa ppearance of the thrombus, The results of thallium myocardial scintigr aphy, coronary arteriography, and left ventriculography performed I mo nth after admission were normal, and the patient was discharged withou t clinical sequelae. The cause of the patient's left ventricular dysfu nction was believed to be not myocardial infarction or myocarditis, bu t a massive adrenergic discharge due to the cerebral hemorrhage.