Journal Basic Info
- Impact Factor: 1.809**
- H-Index: 6
- ISSN: 2474-1655
- DOI: 10.25107/2474-1655
Major Scope
- Nuclear Medicine
- Ophthalmology
- Anatomy
- Renal Disease
- Orthopedics & Rheumatology
- Pathology
- Hepatitis
- Radiology Cases
Abstract
Citation: Ann Clin Case Rep. 2016;1(1):1127.DOI: 10.25107/2474-1655.1127
Large Intracranial Hemorrhage after Dobutamine Stress Echocardiography
Adam Khan, Sujit Bhimireddy, Ahmad Issawi, Michail Vasilakis, Sarah Parker and Dzung Dinh
Department of Medical School, University of Michigan, USA
Department of Neurosurgery, University of Illinois-Peoria College of Medicine, USA
Department of Neurology, University of Illinois-Peoria College of Medicine, USA
*Correspondance to: Dzung Dinh
PDF Full Text Case Report | Open Access
Abstract:
We report the case of a fatal intracranial hemorrhage after dobutamine stress echocardiography for chest pain in a 63-year-old female with no previous vascular risk factors. The patient experienced severe headache during stress testing and became clinically unresponsive 2-3 hours afterward. Imaging demonstrated a large 7.9 cm × 6.7 cm intracerebral hemorrhage (ICH) with subfalcine herniation. This is the first reported of a fatal ICH after dobutamine infusion. In large reviews of dobutamine use for cardiac stress testing, the agent has been proven to have a generally safe risk profile. However dobutamine may rarely produce life-threatening events in susceptible patients. Physicians should be aware of cerebrovascular complications, due to agent’s hypertensive effects, as another rare, but possible complication of dobutamine infusion.
Keywords:
Cite the Article:
Khan A, Bhimireddy S, Issawi A, Vasilakis M, Parker S, Dinh D. Large Intracranial Hemorrhage after Dobutamine Stress Echocardiography. Ann Clin Case Rep. 2016; 1: 1127.