Transient global amnesia after dobutamine--atropine stress echocardiography.
Dobutamine-atropine stress echocardiography is a useful and relatively safe test for coronary artery disease assessment. However, possible complications should be recognized. We describe a case of transient global amnesia in a woman who underwent a standard-protocol dobutamine-atropine stress echocardiogram for coronary ischaemia detection, after having complained about chest pain. The test was not positive for coronary ischaemia, but a typical picture of transient global amnesia ensued. Symptoms shortly resolved spontaneously. Neurological work up was negative for organic disease. Transient global amnesia is a neurological syndrome of unknown origin and good prognosis. Dobutamine-atropine stress echocardiography can be added to the described precipitants of transient global amnesia. This neurological syndrome should be taken into account as a possible complication of dobutamine-atropine stress echocardiography.
Saura
Daniel
D
Hospital Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena S/N. 30120 Murcia, Spain. danielsaura@secardiologia.es
Peñafiel
Pablo
P
Morales
Ana
A
Albert
Laura
L
Martínez
Francisco
F
de la Morena
Gonzalo
G
Valdés-Chávarri
Mariano
M
D000368:Aged; D000647:Amnesia / Q000209:etiology*; D001285:Atropine; D025401:Echocardiography, Stress / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging*; D010276:Parasympatholytics
D010276:Parasympatholytics; D001285:Atropine