Impressive ST-segment elevation during dobutamine stress echocardiography in a patient with normal coronary arteries: dobutamine-induced vasospasm?
ST-segment elevation during dobutamine stress echocardiography is a serious complication usually related to severe coronary artery disease. However, it can occur in absence of significant coronary artery disease supposedly as a consequence of an occlusive dobutamine-induced coronary artery spasm. We report the case of a 56-year-old man without cardiovascular history who presented during a dobutamine stress echocardiography an intense precordial pain along with an impressive 10-mm ST elevation and in whom urgent catheterization documented the absence of significant coronary artery stenoses.
Cardiology Department, Avignon Hospital Center, Avignon, France. sofienerek@yahoo.fr
Sofiene
S
Rekik
Falah
F
Aboukhoudir
Stephane
S
Andrieu
Michel
M
Pansieri
Jean Lou
JL
Hirsch
D003324:Coronary Artery Disease / Q000175:diagnosis; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000175:diagnosis*; D003331:Coronary Vessels / Q000187:drug effects*; D004280:Dobutamine / Q000009:adverse effects*; D004562:Electrocardiography / Q000187:drug effects* / Q000379:methods; D005080:Exercise Test / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014665:Vasodilator Agents / Q000009:adverse effects
D014665:Vasodilator Agents; D004280:Dobutamine