AI Article Synopsis
- Dobutamine is typically safe for stress echocardiography (DSE) but can rarely cause transient AV block.
- A heart transplant patient with high cardiovascular risk experienced symptomatic advanced AV block during DSE, which continued even after stopping dobutamine.
- This case is unique as it's the first reported instance of persistent high-grade AV block in a heart transplant patient triggered by DSE.
Article Abstract
Dobutamine when used for stress echocardiography (DSE), it rarely causes transient atrio-ventricular (AV) block. We report a heart transplant patient with high cardiovascular risk who developed symptomatic advanced AV block during DSE which persisted after termination of dobutamine administration, necessitating pacemaker implantation. To our knowledge, this is the first published case of persistent high grade AV block in a heart transplant patient induced by DSE.
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| http://dx.doi.org/10.1016/j.jelectrocard.2018.08.029 | DOI Listing |
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