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Dobutamine Echocardiogram

Aka: Dobutamine Echocardiogram, Stress Imaging with Dobutamine, Pharmacologic Stress Test with Dobutamine

See Also
Definition
1. Stress Echocardiogram using Dobutamine as Stressor
Indications: Pharmacologic Stress Test
1. Myocardial viability evaluation
2. Heart Valve and left ventricular function evaluation
3. Concurrent medication use contraindicating Adenosine
  1. Dipyridamole
  2. Aggrenox
4. Comorbid conditions contraindicating Adenosine
  1. Bronchospastic lung disease
  2. Severe Chronic Obstructive Pulmonary Disease (COPD)
  3. Critical Carotid Stenosis
Contraindications
1. Concurrent Beta-Blocker use
2. Body habitus interferes with Echocardiogram windows
  1. Optison contrast can be used to increase accuracy
Advantages
1. Beta adrenergic agonist increases coronary flow 3x
2. More specific than Adenosine (but less sensitive)

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 6/18/2013.

This is one of 5909 pages in the Family Practice Notebook