Fatal pheochromocytoma crisis precipitated by dobutamine stress echocardiography
Author(s) -
Prabhdeep S. Sethi,
William Hiser,
Hasan Gaffar,
Leng Jiang,
Ashequl Islam,
Nitin Bhatnagar,
Mara Slawsky
Publication year - 2008
Publication title -
european heart journal - cardiovascular imaging
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ejechocard/jen180
Subject(s) - pheochromocytoma , medicine , dobutamine , cardiology , coronary artery disease , complication , hypertensive crisis , ventricular tachycardia , disease , tachycardia , incidence (geometry) , radiology , blood pressure , hemodynamics , physics , optics
The safety of dobutamine stress echocardiography (DSE) has been demonstrated in multiple studies with a major complication rate of <1%. Specifically, ventricular tachycardia during DSE has a reported incidence of 0.3%, and has been bound to be of no prognostic significance in patients without obstructive coronary artery disease. We report a unique case of fatal pheochromocytoma crisis precipitated by DSE in a patient with heretofore unknown adrenal disease. We are once again reminded that no diagnostic modality is absolutely without risk; however, minimal they might be.
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