RESUMO
Dobutamine when used for stress echocardiography (DSE), it rarely causes transient atrio-ventricular (AV) block. We report a heart transplant patient with high cardiovascular risk who developed symptomatic advanced AV block during DSE which persisted after termination of dobutamine administration, necessitating pacemaker implantation. To our knowledge, this is the first published case of persistent high grade AV block in a heart transplant patient induced by DSE.
Assuntos
Bloqueio Atrioventricular/etiologia , Cardiotônicos/efeitos adversos , Dobutamina/efeitos adversos , Ecocardiografia sob Estresse/efeitos adversos , Transplante de Coração , Bloqueio Atrioventricular/diagnóstico , Cardiotônicos/administração & dosagem , Dobutamina/administração & dosagem , Eletrocardiografia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
We describe a unique case of a 37-year-old patient who was diagnosed with human immunodeficiency virus/tuberculosis co-infection due to a cardiac involvement that consisted in atrial fibrillation as a consequence of a compression of the left atrium by a giant necrotic lymphadenopathy and a pericardial effusion.