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Biomedical subjects

T C Cheng

Publications and source records attributed to T C Cheng.

At least 91 records · Page 5Linked to original sources

Refractory left ventricular failure: use of two-dimensional echocardiography in identification of thrombi.

A 65-year-old woman was hospitalized several times after having an acute anteroseptal transmural infarction. Her course was complicated by recurrent ventricular tachycardia and severe left ventricular failure. Chest x-ray films showed pulmonary congestion and mild right pleural effusion. Two-dimensional echocardiography revealed a large left ventricular thrombus, which resolved after two months of treatment. The course of anticoagulation was later complicated by massive gastrointestinal hemorrhage. Finally, the patient died in her sleep, probably as a result of arrhythmia. An autopsy revealed extensive left ventricular mural thrombi. The early identification of left ventricular thrombus by two-dimensional echocardiography has lifesaving implications. It is possible that, with proper medical management, further formation of pulmonary emboli could be prevented.

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Thrombocytopenia associated with minidose heparin therapy.

Thrombocytopenia developed in an elderly woman who was being treated for an impacted fracture of the right femoral neck. The complication was attributed to heparin because the platelet count decreased each time the drug was administered, and when the drug was stopped, the count increased. By the time of death, the patient's platelet count had dropped to 30,000/cu mm. This case is presented to alert physicians to the possibility of thrombocytopenia with the prophylactic use of minidose heparin.

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