Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol

Dobutamine stress echocardiography (DSE) is a commonly utilized method for coronary artery disease (CAD) diagnosis, and it provides important long-term prognostic information. We report a case of a 53-year-old female with multiple cardiovascular risk factors who underwent DSE for evaluation of under...

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Autores principales: Manasrah, Nouraldeen, Naik, Rohan, Al Sbihi, Ali F, Afonso, Luis C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7515549/
https://www.ncbi.nlm.nih.gov/pubmed/32983711
http://dx.doi.org/10.7759/cureus.10015
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author Manasrah, Nouraldeen
Naik, Rohan
Al Sbihi, Ali F
Afonso, Luis C
author_facet Manasrah, Nouraldeen
Naik, Rohan
Al Sbihi, Ali F
Afonso, Luis C
author_sort Manasrah, Nouraldeen
collection PubMed
description Dobutamine stress echocardiography (DSE) is a commonly utilized method for coronary artery disease (CAD) diagnosis, and it provides important long-term prognostic information. We report a case of a 53-year-old female with multiple cardiovascular risk factors who underwent DSE for evaluation of underlying CAD. The examination was complicated by wide complex tachycardia and promoted administration of esmolol, which shortly led to ST-segment elevation myocardial infarction (STEMI). Coronary angiography showed complete absence of CAD. Coronary vasospasm was a possible suggested mechanism due to the pharmacologic interaction between beta-blockers and dobutamine on alpha- and beta-adrenergic receptors.
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spelling pubmed-75155492020-09-26 Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol Manasrah, Nouraldeen Naik, Rohan Al Sbihi, Ali F Afonso, Luis C Cureus Cardiology Dobutamine stress echocardiography (DSE) is a commonly utilized method for coronary artery disease (CAD) diagnosis, and it provides important long-term prognostic information. We report a case of a 53-year-old female with multiple cardiovascular risk factors who underwent DSE for evaluation of underlying CAD. The examination was complicated by wide complex tachycardia and promoted administration of esmolol, which shortly led to ST-segment elevation myocardial infarction (STEMI). Coronary angiography showed complete absence of CAD. Coronary vasospasm was a possible suggested mechanism due to the pharmacologic interaction between beta-blockers and dobutamine on alpha- and beta-adrenergic receptors. Cureus 2020-08-25 /pmc/articles/PMC7515549/ /pubmed/32983711 http://dx.doi.org/10.7759/cureus.10015 Text en Copyright © 2020, Manasrah et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Manasrah, Nouraldeen
Naik, Rohan
Al Sbihi, Ali F
Afonso, Luis C
Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol
title Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol
title_full Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol
title_fullStr Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol
title_full_unstemmed Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol
title_short Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol
title_sort coronary vasospasm after dobutamine stress echocardiogram triggered by esmolol
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7515549/
https://www.ncbi.nlm.nih.gov/pubmed/32983711
http://dx.doi.org/10.7759/cureus.10015
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AT alsbihialif coronaryvasospasmafterdobutaminestressechocardiogramtriggeredbyesmolol
AT afonsoluisc coronaryvasospasmafterdobutaminestressechocardiogramtriggeredbyesmolol

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