Acute myocardial infarction during a dobutamine stress echocardiography, in a patient with angiographically normal coronaries.

@article{Ioannides2008AcuteMI,
  title={Acute myocardial infarction during a dobutamine stress echocardiography, in a patient with angiographically normal coronaries.},
  author={Marios Ioannides and Kyriakos Yiangou and Theodoros A Christodoulides and Marios Kassianides and Evagoras P Nicolaides and Michael y. Henein},
  journal={International journal of cardiology},
  year={2008},
  volume={130 1},
  pages={e44-6}
}
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… CONTINUE READING