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Central Anticholinergic Syndrome Following Dobutamine-Atropine Stress Echocardiography.
MedLine Citation:
PMID:  21929583     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We present a case of central anticholinergic syndrome following dobutamine-atropine stress echocardiography in an elderly female. Although atropine toxicity is a recognized complication of stress echocardiography, no case reports are currently available. The central nervous system side effects of atropine are varied in severity (mild cognitive impairment to severe coma) and spectrum (agitation or somnolence), and thus are often overlooked. Management includes prompt recognition, stopping the offending agent, providing supportive care, and consideration of physiostigmine. Atropine is used in up to 60% of dobutamine stress echocardiograms, and has the potential to cause morbidity. (Echocardiography, ****;**:E1-E2).
Authors:
Michael E Wilson; Glenn K Lee; Anupam Chandra; Garvan C Kane
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-19
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  -     ISSN:  1540-8175     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011, Wiley Periodicals, Inc.
Affiliation:
Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota Department of Medicine, National University Health System, Singapore Department of Cardiology, Mayo Clinic, Rochester, Minnesota.
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