多巴酚丁胺负荷超声心动图诱发致命性嗜铬细胞瘤危象

Fatal pheochromocytoma crisis precipitated by dobutamine stress echocardiography.

作者信息

Sethi Prabhdeep S, Hiser William, Gaffar Hasan, Jiang Leng, Islam Ashequl, Bhatnagar Nitin, Slawsky Mara

机构信息

Department of Cardiology, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA.

出版信息

Eur J Echocardiogr. 2008 Nov;9(6):819-21. doi: 10.1093/ejechocard/jen180. Epub 2008 Jun 13.

DOI:10.1093/ejechocard/jen180

PMID:18579490

Abstract

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.

摘要

多巴酚丁胺负荷超声心动图（DSE）的安全性已在多项研究中得到证实，主要并发症发生率<1%。具体而言，DSE期间室性心动过速的报告发生率为0.3%，并且在无阻塞性冠状动脉疾病的患者中已被证明无预后意义。我们报告了一例独特的病例，一名患有此前未知肾上腺疾病的患者在DSE后引发了致命的嗜铬细胞瘤危象。我们再次被提醒，没有任何诊断方法是绝对没有风险的；然而，风险可能极小。