[Life threatening acute complications of dobutamine-atropine stress echocardiography--a case report].
The presented case report describes lifethreatening complications of pharmacological stress echocardiography with dobutamine. A 66-year old male suffered an acute anterior wall myocardial infarction during dobutamine atropine stress echocardiography. Symptoms and signs of myocardial infarction developed after maximal dobutamine-dose (40 micrograms/kg/min) and the additional application of atropine. Emergency coronary angiography revealed extensive coronary artery disease with proximal occlusion of the left anterior descending artery which was successfully recanalized. In a second patient ventricular fibrillation echocardiography and electrocardiographic signs of acute myocardial ischemia developed after high-dose dobutamine stress and required prolonged resuscitation. The possible mechanisms, incidence and risk of acute myocardial ischemia during dobutamine-atropine stress are discussed and compared to bicycle ergometry. The presented life threatening complications of dobutamine-atropine stressechocardiography emphasize the important of available and adequate emergency facilities.
Breithardt
O A
OA
Universitätsklinikum, RWTH Aachen Medizinische Klinik I. OBRE@pcserver.mk1.rwth-achen.de
Flachskampf
F A
FA
Klues
H G
HG
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001285:Atropine / Q000009:adverse effects*; D002316:Cardiotonic Agents / Q000009:adverse effects*; D017023:Coronary Angiography / Q000187:drug effects; D003327:Coronary Disease / Q000175:diagnosis*; D004280:Dobutamine / Q000009:adverse effects*; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D004452:Echocardiography / Q000187:drug effects*; D005080:Exercise Test / Q000187:drug effects*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000175:diagnosis; D012151:Resuscitation; D012307:Risk Factors; D015607:Stents
D002316:Cardiotonic Agents; D004280:Dobutamine; D001285:Atropine