DOBUTAMINE-INDUCED ST SEGMENT ELEVATION IN A PATIENT WITH ANGINA AT REST AND CRITICAL CORONARY LESIONS

被引:14
作者
PREVITALI, M [1 ]
LANZARINI, L [1 ]
MUSSINI, A [1 ]
FERRARIO, M [1 ]
ANGOLI, L [1 ]
SPECCHIA, G [1 ]
机构
[1] UNIV PAVIA,POLICLIN SAN MATTEO,DEPT INTERNAL MED,CARDIOL SECT,I-27100 PAVIA,ITALY
关键词
DOBUTAMINE; ANGINA PECTORIS; ST-SEGMENT ELEVATION;
D O I
10.1093/oxfordjournals.eurheartj.a060306
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A case of dobutamine-induced ST-segment elevation in a patient with angina at rest and severe two-vessel disease is described. Coronary angiography performed during the ischaemic episode showed patency of coronary arteries; ST-segment elevation and chest pain regressed after propranolol administration. This case suggests that in the presence of severe coronary lesions dobutamine may produce transmural myocardial ischaemia by increasing myocardial oxygen demand and inducing myocardial blood flow maldistribution. © 1992 The European Society of Cardiology.
引用
收藏
页码:997 / 999
页数:3
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