Open AccessAtropine-Induced Ventricular Asystole During a Dobutamine Stress Test
Author(s) -
Kevin Buda,
Joseph D. Steffens,
Abdulrahman Gamam,
Shrikar Rajagopal,
Fredrick Ogugua,
Jorge L. Reyes,
Rehan Karim,
Charles A. Herzog
Publication year - 2020
Publication title -
journal of medical cases
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1923-4163
pISSN - 1923-4155
DOI - 10.14740/jmc3465
Subject(s) - medicine , asystole , dobutamine , atropine , anesthesia , cardiology , incidence (geometry) , hemodynamics , physics , optics
Dobutamine stress echocardiography is a safe diagnostic test with low incidence of serious complications. Atropine has been shown to reduce test duration without increasing the rate of complications. We present a case of a 52-year-old man with end stage renal disease who experienced syncope due to ventricular asystole after atropine administration during a dobutamine stress test. The underlying pathophysiology is discussed.