Document Detail

Impressive ST-segment elevation during dobutamine stress echocardiography in a patient with normal coronary arteries: dobutamine-induced vasospasm?
MedLine Citation:
PMID:  19376526     Owner:  NLM     Status:  MEDLINE    
ST-segment elevation during dobutamine stress echocardiography is a serious complication usually related to severe coronary artery disease. However, it can occur in absence of significant coronary artery disease supposedly as a consequence of an occlusive dobutamine-induced coronary artery spasm. We report the case of a 56-year-old man without cardiovascular history who presented during a dobutamine stress echocardiography an intense precordial pain along with an impressive 10-mm ST elevation and in whom urgent catheterization documented the absence of significant coronary artery stenoses.
Sofiene Rekik; Falah Aboukhoudir; Stephane Andrieu; Michel Pansieri; Jean Lou Hirsch
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-18
Journal Detail:
Title:  Journal of electrocardiology     Volume:  42     ISSN:  1532-8430     ISO Abbreviation:  -     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-08-21     Completed Date:  2009-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  414-9     Citation Subset:  IM    
Cardiology Department, Avignon Hospital Center, Avignon, France.
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MeSH Terms
Coronary Artery Disease / diagnosis
Coronary Vasospasm / chemically induced*,  diagnosis*
Coronary Vessels / drug effects*
Dobutamine / adverse effects*,  diagnostic use*
Electrocardiography / drug effects*,  methods
Exercise Test / adverse effects*
Middle Aged
Vasodilator Agents / adverse effects,  diagnostic use
Reg. No./Substance:
0/Vasodilator Agents; 34368-04-2/Dobutamine

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

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