[Acute myocardial infarction with cardiogenic shock following stress echocardiography: case report].
Acute myocardial infarction is a rare complication of dobutamine stress echocardiography (DSE). We report the case of a 60-year-old man with moderate apical sequela of a myocardial infarction (MI) which had an inferior MI complicated with cardiogenic shock and circulatory arrest two hours after a positive DSE in that very circulatory topography. Emergency coronarography objectivizes a dissection of the circumflex artery. The patient required a circulatory assistance device. He survived the episode and left the hospital with 50% left ventricular ejection fraction.
Kénizou
D
D
Service de cardiologie, hôpital E.-Muller, 20, rue du Docteur-Laennec, BP 1070, 68070 Mulhouse cedex, France. Kenizoud@ch-mulhouse.fr
Jacquemin
L
L
Monassier
J-P
JP
ElBelghiti
R
R
Roth
O
O
Lévy
J
J
D025401:Echocardiography, Stress / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000209:etiology*; D012770:Shock, Cardiogenic / Q000150:complications / Q000209:etiology*