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