title: Left Ventricular Thrombus as a Complication of Clozapine-Induced Cardiomyopathy: A Case Report and Brief Literature Review.
abstract: A 48-year-old male with history of schizoaffective disorder on clozapine presented with chest pain, dyspnea, and new left bundle branch block. He underwent coronary angiography, which revealed no atherosclerosis. The patient's workup was unrevealing for a cause for the cardiomyopathy and thus it was thought that clozapine was the offending agent. The patient was taken off clozapine and started on guideline directed heart failure therapy. During the course of hospitalization, he was also discovered to have a left ventricular (LV) thrombus for which he received anticoagulation. To our knowledge, this is the first case report of clozapine-induced cardiomyopathy complicated by a LV thrombus.
authors.affiliation: Department of Internal Medicine, University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58102, USA.
authors.forename: Shahbaz A
authors.initials: SA
authors.lastname: Malik
authors.affiliation: Department of Internal Medicine, University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58102, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Malik
authors.affiliation: Department of Cardiology, Sanford Health, Fargo, ND 58102, USA.
authors.forename: Taylor F
authors.initials: TF
authors.lastname: Dowsley
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58102, USA.
authors.forename: Balwinder
authors.initials: B
authors.lastname: Singh