title: [Acute myocardial infarction with cardiogenic shock following stress echocardiography: case report].
abstract: 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.
authors.affiliation: Service de cardiologie, hôpital E.-Muller, 20, rue du Docteur-Laennec, BP 1070, 68070 Mulhouse cedex, France. Kenizoud@ch-mulhouse.fr
authors.forename: D
authors.initials: D
authors.lastname: Kénizou
authors.forename: L
authors.initials: L
authors.lastname: Jacquemin
authors.forename: J-P
authors.initials: JP
authors.lastname: Monassier
authors.forename: R
authors.initials: R
authors.lastname: ElBelghiti
authors.forename: O
authors.initials: O
authors.lastname: Roth
authors.forename: J
authors.initials: J
authors.lastname: Lévy
mesh_terms: 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*