Document Detail

Fatal pheochromocytoma crisis precipitated by dobutamine stress echocardiography.
MedLine Citation:
PMID:  18579490     Owner:  NLM     Status:  MEDLINE    
The safety of dobutamine stress echocardiography (DSE) has been demonstrated in multiple studies with a major complication rate of <1%. Specifically, ventricular tachycardia during DSE has a reported incidence of 0.3%, and has been bound to be of no prognostic significance in patients without obstructive coronary artery disease. We report a unique case of fatal pheochromocytoma crisis precipitated by DSE in a patient with heretofore unknown adrenal disease. We are once again reminded that no diagnostic modality is absolutely without risk; however, minimal they might be.
Prabhdeep S Sethi; William Hiser; Hasan Gaffar; Leng Jiang; Ashequl Islam; Nitin Bhatnagar; Mara Slawsky
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-13
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  9     ISSN:  1532-2114     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-24     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  819-21     Citation Subset:  IM    
Department of Cardiology, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA.
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MeSH Terms
Adrenal Gland Neoplasms / complications*,  ultrasonography
Dobutamine / adverse effects*,  diagnostic use
Echocardiography, Stress / adverse effects*,  methods
Fatal Outcome
Middle Aged
Pheochromocytoma / complications*,  ultrasonography
Respiratory Insufficiency / chemically induced,  etiology*
Shock / chemically induced,  etiology*
Sympathomimetics / adverse effects*,  diagnostic use
Reg. No./Substance:
0/Sympathomimetics; 34368-04-2/Dobutamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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