Journal of the American Society of Echocardiography
Myocardial infarction as a complication of dobutamine stress echocardiography☆,☆☆,★
Section snippets
Case Report
A 42-year-old woman had an anteroseptal MI and received thrombolytic therapy with streptokinase 6 hours after the onset of symptoms. Maximum creatine phosphokinase level was 930 U/L. Repeated echocardiography showed akinesia of the apical anterior wall and dyskinesia with the development of aneurysm of the apex and apical septum. Global left ventricular function was moderately depressed. Except for a single episode of postinfarction angina, the patient was stable for the subsequent 3 weeks. She
Discussion
Since the introduction of the dipyridamole test in 1976,5 pharmacologic stress tests have been useful tools for the diagnosis and risk stratification in coronary heart disease. Stress echocardiography with dipyridamole or adrenergic agents is widely applied in hospitalized as well as in ambulatory patients with known or suspected CAD. Indications range from prognostic stratification after MI or before major surgery through screening for significant CAD in patients with inconclusive exercise
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Cited by (0)
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From the Department of Medicine, Division of Cardiology, Leverkusen Teaching Hospital.
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Reprint requests: Bernd Weidmann, MD, Department of Medicine, Division of Cardiology, Leverkusen Teaching Hospital, Dhuennberg 60, 51375 Leverkusen, Germany.
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