title: Dobutamine stress echocardiography in a patient with Wolff-Parkinson-White syndrome.
abstract: We describe the case of a patient with ventricular pre-excitation who underwent dobutamine stress echocardiography to evaluate atypical chest pain. The patient safely underwent the procedure with interesting electrocardiographic findings during pharmacological stress. The risks of dobutamine stress testing, along with possible explanations of this observed event, are discussed. In conclusion, the safety of dobutamine stress testing in patients with ventricular pre-excitation has not been established; further prospective studies are needed to decide whether dobutamine stress testing is safe in certain subsets of this population.
authors.affiliation: Division of Cardiology, The University of Texas Medical Branch, Galveston, TX, USA h.yamani@alumni.utexas.net
authors.forename: Hussein N
authors.initials: HN
authors.lastname: Yamani
authors.forename: David L
authors.initials: DL
authors.lastname: Ware
authors.forename: Yochai
authors.initials: Y
authors.lastname: Birnbaum
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology; D025401:Echocardiography, Stress; D004562:Electrocardiography; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology