July 1, 1993CirculationOpen Access

Symptoms, adverse effects, and complications associated with dobutamine stress echocardiography. Experience in 1118 patients.

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Why the study?

Is dobutamine stress echocardiography safe in patients with known or suspected coronary artery disease?

Population

1118 patients undergoing dobutamine stress echocardiography for evaluation of known or suspected coronary…

Design

Cohort

Follow-up

During the test

Authors

HMH MertesStadtarchiv Worms SSStephen G. SawadaCardiac Imaging TRTimothy A. RyanCornell University

Discussion

Member takes

Implication

Supports safety of dobutamine stress echocardiography in this cohort; leaves open need for randomized confirmation before broader adoption.

Structured PICO

Is dobutamine stress echocardiography safe in patients with known or suspected coronary artery disease?

Population

1118 patients undergoing dobutamine stress echocardiography for evaluation of known or suspected coronary artery disease (chest pain, risk assessment before noncardiac surgery, after recent myocardial infarction, or research protocols)

Intervention

Dobutamine stress echocardiography (maximal dose up to 50 micrograms/kg per minute, with supplemental atropine used in 37% of patients)

Outcome

Safety and complications (occurrence of death, myocardial infarction, sustained ventricular tachycardia, arrhythmias, and noncardiac side effects)safety

Dobutamine stress echocardiography, even with an aggressive dosing protocol and supplemental atropine, is safe and associated with minor, well-tolerated side effects and arrhythmias.

Cite This Study

Mertes et al. (1993) studied this question.

synapsesocial.com/papers/6a7944f114b028facf0daa54 https://doi.org/10.1161/01.cir.88.1.15

Topics

Echocardiography Ventricular arrhythmias

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Implication

Supports safety of dobutamine stress echocardiography in this cohort; leaves open need for randomized confirmation before broader adoption.

Symptoms, adverse effects, and complications associated with dobutamine stress echocardiography. Experience in 1118 patients.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Symptoms, adverse effects, and complications associated with dobutamine stress echocardiography. Experience in 1118 patients.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider