Stokes – Adams during dobutamine stress echocardiography: An unexpected event during dobutamine stress echocardiography

Abstract

Dobutamine stress echocardiography (DSE) is commonly used to assess the extent, location, and severity of coronary artery disease (CAD), and for myocardial viability. DSE is generally well tolerated, and its side effects and contraindications are mostly related to consequences of excess inotropic or chronotropic stimulation of the heart. Bradycardia and transient atrioventricular (AV) block are not infrequent during DSE. Hereby, we present a case report of a patient who developed symptomatic junctional bradycardia during dobutamine stress echocardiography.

Keywords

• Dobutamine stress echocardiography
• Coronary artery disease
• Complete heart block
• Stokes adam syndrome