title: Bubble trouble: anaphylactic shock, threatened myocardial infarction, and transient renal failure after intravenous echo contrast for left ventricular cavity opacification preceding dobutamine stress echo.
abstract: Echo contrast agents are widely used and safe but can rarely produce serious side effects. This-to the author's knowledge-is the first detailed published case report of a patient who had a severe and complex sequence of adverse reactions within 3 min of having an intravenous infusion of Sonovue initiated, and where the causal connection between Sonovue and the adverse reaction is not diluted by potential side effects from dobutamine.
authors.affiliation: Morriston Cardiac Centre, Morriston, Swansea SA6 6NL, Wales, UK. adrian.ionescu@swansea-tr.wales.nhs.uk
authors.forename: Adrian
authors.initials: A
authors.lastname: Ionescu
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced*; D000707:Anaphylaxis / Q000139:chemically induced*; D003287:Contrast Media / Q000009:adverse effects*; D025401:Echocardiography, Stress / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced*; D010743:Phospholipids / Q000009:adverse effects*; D013459:Sulfur Hexafluoride / Q000009:adverse effects*
chemical_list: D003287:Contrast Media; D010743:Phospholipids; C420843:contrast agent BR1; D013459:Sulfur Hexafluoride