Bennin Charles-Lwanga Kobina, Ramoutar Virin, Velarde Gladys
Department of Cardiology, University of Florida, Jacksonville, Florida, USA.
BMJ Case Rep. 2014 Mar 18;2014:bcr2013201891. doi: 10.1136/bcr-2013-201891.
Intracranial haemorrhage (ICH) resulting from dobutamine stress echocardiography (DSE) is a rare complication in an otherwise relatively safe procedure. There has been one previously reported case of ICH associated with DSE in a patient who was fully anticoagulated. The authors report a second case of ICH associated with DSE leading to a poor outcome. Unlike the previous report, this patient was not fully anticoagulated and bleeding resulted from uncontrolled hypertension. Clinicians should be attentive to the risk of ICH associated with DSE in the setting of uncontrolled hypertension.
多巴酚丁胺负荷超声心动图（DSE）引发的颅内出血（ICH）是一种相对安全的检查中罕见的并发症。此前曾有1例报告，在1例接受充分抗凝治疗的患者中发生了与DSE相关的ICH。作者报告了第2例与DSE相关的ICH，预后不良。与之前的报告不同，该患者未接受充分抗凝治疗，出血是由未控制的高血压所致。临床医生应留意在未控制高血压情况下与DSE相关的ICH风险。
