Key result
Dobutamine stress echocardiography induced transient cardiomyopathy in a patient with noncritical coronary artery disease, which resolved with conservative management over 7 days.
Why the study?
The authors aimed to describe a rare case of dobutamine-induced transient cardiomyopathy during dobutamine stress echocardiography and review the epidemiology, mechanisms, clinical features, complications, diagnostic criteria, and management guidelines.
Case Report (n=1)
Dobutamine stress echocardiography can rarely induce transient Takotsubo cardiomyopathy, which typically resolves with conservative management.
Alerts clinicians to rare dobutamine stress echocardiography complication; leaves open incidence and risk factors in noncritical CAD.
Takotsubo cardiomyopathy is a syndrome characterized by transient left ventricular (LV) dysfunction in the absence of significant coronary artery disease. We report a rare case of dobutamine-induced transient cardiomyopathy during dobutamine stress echocardiography, whose coronary angiography was suggestive of noncritical coronary artery disease. The patient was managed conservatively and was discharged after 7 days in a hemodynamically stable condition with improved LV function. Anticoagulation was not pursued due to improvement in LV function. We also herein aim to review the epidemiology, various accepted mechanisms of etiopathogenesis, clinical features, complications, diagnostic criteria, and currently practiced guidelines on the management of stress-induced cardiomyopathy.
No takes yet. Share an insight, caveat, or question.
Mastebhakti et al. (2024) conducted a case report in Dobutamine-induced transient cardiomyopathy (n=1). Dobutamine stress echocardiography was evaluated on Development of transient cardiomyopathy. Dobutamine stress echocardiography induced transient cardiomyopathy in a patient with noncritical coronary artery disease, which resolved with conservative management over 7 days.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: