Mitral valve regurgitation: paradoxical behavior of dobutamine stress cardiac magnetic resonance imaging.
A 62-year-old woman with mitral regurgitation (MR) underwent cardiac magnetic resonance (CMR) and dobutamine stress CMR imaging, a widely used method to analyze left ventricular function and MR volumes. During dobutamine provocation at escalating doses, the left ventricular end-diastolic diameter (LVEDD) decreased, with a corresponding decrease in MR. At peak dobutamine dose, the LVEDD further decreased, with near complete relief of MR. Upon cessation of dobutamine provocation, the MR returned to predobutamine level. This case thereby demonstrates that MR may be reversible under certain conditions.
Hospital Ana Neri, Caixa D'água, Brazil.
Andre Mauricio S
AM
Fernandes
Vikas K
VK
Rathi
Robert W W
RW
Biederman
Dafne C
DC
Andrade
Igor C
IC
Borges
D004280:Dobutamine / Q000627:therapeutic use*; D005080:Exercise Test; D005260:Female; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000188:drug therapy* / Q000473:pathology*; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D004280:Dobutamine