Jul 08 2010

Acute myocardial infarction during a dobutamine stress echocardiography, in a patient with angiographically normal coronaries.

Ioannides M, Yiangou K, Christodoulides T, Kassianides M, Nicolaides E, Henein M


We report a case of acute myocardial infarction during a dobutamine stress echo (DSE) study in a middle age man. Our patient experienced a severe crushing retrosternal pain at peak DSE study, at the time the ECG recorded an episode of non-sustained ventricular tachycardia followed by a persistent significant ST segment elevation in V2-V6 leads. Symptoms and ECG findings remained despite the use of intravenous (IV) nitrates and therefore thrombolysis was given. A subsequent coronary angiogram revealed only mild atheromatous changes but no stenosis.

Η πιο πάνω εργασία δημοσιεύτηκε στο περιοδικό International Journal of Cardiology

Int J Cardiol. 2008 Oct 30;130(1):e44-6. Epub 2007 Sep 19.