Dynamic left ventricular outflow tract obstruction induced by dobutamine stress echocardiography leading to myocardial ischemia and infarction

International Journal of Cardiovascular Imaging

Volumn 22, Issue 6, 2006, Pages 763-769

  Makaryus, Amgad N ^a   Meraj, Perwaiz ^a   Rosman, David ^b  

^a NORTH SHORE UNIVERSITY HOSPITAL   (United States)

^b LONG ISLAND JEWISH MEDICAL CENTER   (United States)

Author keywords

Dobutamine stress echocardiography; Left ventricular outflow tract gradient; Myocardial infarction

Indexed keywords

ACETYLSALICYLIC ACID; AMLODIPINE; AMYL NITRITE; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DOBUTAMINE;

AGED; ANGIOCARDIOGRAPHY; ARTICLE; CASE REPORT; CLINICAL FEATURE; DISEASE SEVERITY; DRUG DOSE REGIMEN; DRUG INFUSION; DRUG WITHDRAWAL; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW UP; HEART CATHETERIZATION; HEART INFARCTION; HEART LEFT VENTRICLE EJECTION FRACTION; HEART LEFT VENTRICLE OUTFLOW TRACT OBSTRUCTION; HEART LEFT VENTRICLE WALL MOTION; HEART MUSCLE ISCHEMIA; HUMAN; HYPERTENSION; LOW DRUG DOSE; OUTPATIENT CARE; PATIENT MONITORING; PREOPERATIVE EVALUATION; SIDE EFFECT; ST SEGMENT ELEVATION; STRESS ECHOCARDIOGRAPHY; SUBSTERNAL PAIN;

EID: 33750889643     PISSN: 15695794     EISSN: 18758312     Source Type: Journal    
DOI: 10.1007/s10554-006-9102-y     Document Type: Article

References (17)

1. Cortigiani L, Picano E, Coletta C, Chiarella F, Mathias W, Gandolfo N, De Alacantra M, Mazzoni V, Gensini GF, Landi P (2001) Safety, feasibility and prognostic implications of pharmacologic stress echocardiography in 1482 patients evaluated in an ambulatory setting. Am Heart J 141:621-629
2. Luria D, Klutstein W, Rosenmann D, Shaheen J, Sergey S, Tzivoni D (1999) Prevalence and significance of left ventricular outflow gradient during dobutamine echocardiography. Eur Heart J 20:386-392
3. Pellikka PA, Oh JK, Bailey KR, Nicholas BA, Monahan KH, Tajik J (1992) Dynamic intraventricular obstruction during dobutamine stress echocardiography. Circulation 86:1429-1432
4. Hansen A, Hardt SE, Pekrul I, Filusch A, Bekeredjian R, Kuecherer HF (2003). Detection of acute myocardial ischemia during pharmacological stress in graded coronary artery stenosis: Analysis of left ventricular asynchrony using Fourier phase imaging in pigs. Int J Cardiovasc Imaging 19(2):107-115
5. Kawano H, Fujii H, Motoyama T, Kugiyama K, Ogawa H, Yasue H (2005) Myocardial Ischemia due to coronary artery spasm during dobutamine stress echocardiography. Am J Cardiol 85:26-30
6. Williams RS, Bishop T (1981) Selectivity of dobutamine for adrenergic receptor subtype. J Clin Invest 67:1703-1711
7. Tuttle RR, Mills J (1975) Dobutamine: Development of a new catecholamine to selectivity increases cardiac contractility. Circ Res 36:185-196
8. Yasue H, Omote S, Takizawa A, Nagao M, Miwa K, Tanaka S (1979) Circadian variation of exercise capacity in patients with Prinzmetal's variant angina: Role of exercise-induced coronary arterial spasm.Circulation 59:938-948
9. Crouse LJ, Cheirif J, Hanly DE et al. (1993) Opacification and border delineation improvement in patients with suboptimal endocardial border definition in routine echocardiography: Results of the phase III Albunex Multicenter Trial. J Am Coll Cardiol 22:1494-1500
10. Stewart MJ (2003) Contrast echocardiography. Heart 89(3):342-8
11. Marcovitz P, Bach D, Mathias W, Shayna V, Armstrong W (1993) Paradoxic hypotension during dobutamine stress echocardiography: Clinical and diagnostic implications. J Am Coll Cardiol 21:1080-1086
12. Weissman N, Nidorf S, Weyman A, Picard M (1995) Effect of hydration on cavity obliteration during dobutamine stress echocardiography. Clin Cardiol 18:17-20
13. Picano E, Mathias W, Pingitore A, Bigi R, Previtali M (1994) Safety and tolerability of dobutamine-atropine stress echocardiography: A prospective, multicentre study. Lancet 344:1190-1192
14. Meimoun P, Benali T, Sayah S, Luycx-Bore A, Maitre B, Tribouilloy C (2005) Significance of Systolic Anterior Motion of the Mitral Valve During Dobutamine Stress Echocardiography. J Am Soc Echocardiogr 18:49-56
15. Sharma R, Pellerin D, Gaze DC, Mehta RL, Gregson H, Streather CP, Collinson PO, Brecker SJ (2006) Dynamic left ventricular obstruction: A potential cause of angina in end stage renal disease (IJCA-g-0979). Int J Cardiol (In Press)
16. Dawn B, Paliwal VS, Raza ST, Mastali K, Longaker RA, Stoddard MF (2005) Left ventricular outflow tract obstruction provoked during dobutamine stress echocardiography predicts future chest pain, syncope, and near syncope. Am Heart J 149(5):908-916
17. Maraj S, Jacobs LE, Maraj R, Contreras R, Rerkpattanapipat P, Malik TA, Manzarbeitia C, Munoz S, Rothstein K, Kotler MN (2004) Inducible left ventricular outflow tract gradient during dobutamine stress echocardiography: An association with intraoperative hypotension but not a contraindication to liver transplantation. Echocardiography 21(8):681-685