학술논문
Acute myocardial infarction during a dobutamine stress echocardiography, in a patient with angiographically normal coronaries
Document Type
Report
Author
Source
International Journal of Cardiology. Oct 30, 2008, Vol. 130 Issue 1, pe44
Subject
Language
English
ISSN
0167-5273
Abstract
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ijcard.2007.06.138 Byline: Marios Ioannides, Kyriakos Yiangou, Theodoros Christodoulides, Marios Kassianides, Evagoras Nicolaides, Michael Henein Keywords: Dobutamine stress echo; Ventricular tachycardia; Thrombolysis; Myocardial infarction; Normal coronaries Abstract: 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. Author Affiliation: Cardiology Department, Nicosia General Hospital, Nicosia, Cyprus Article History: Received 24 April 2007; Accepted 30 June 2007