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PARADOXICAL SINUS NODE DECELERATION DURING DOBUTAMINE STRESS ECHOCARDIOGRAPHY; CASE STUDY

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Author: 
Shahad AlRaimi, Yahya M AlZahrani, Zainalabdin Assadigi, *Muneera AlTaweel, Sarah AlMukhaylid
Country: 
Saudi Arabia
Volume & Issue: 
Volume 04, Issue 10, October 2022
Page No: 
3442-3444
Abstract: 

Dobutamine stress echocardiography (DSE) is a well-established non-invasive testing procedure for diagnosing myocardial ischemia and coronary artery disease. As a result of dobutamine stress testing, side effects such as ventricular tachycardia, fatal ventricular fibrillation, cardiogenic shock, free wall rupture, and transient ischemic attacks have been reported. However, a paradoxical heart rate response during dobutamine stress echocardiography (DSE) is not necessarily associated with abnormal test results, nor does it imply coronary artery disease. Herein we report a 54-year-old female who presented with paradoxical sinus node deceleration of heart response to maximum dobutamine dose resulting in stress test interruption in the absence of obstructive coronary artery disease.

KeyWords: 
dobutamine stress Echocardiography, paradoxical heart rate response to stress