RESUMEN
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.
Asunto(s)
Bloqueo Atrioventricular/etiología , Cardiotónicos/efectos adversos , Dobutamina/efectos adversos , Ecocardiografía de Estrés/efectos adversos , Trasplante de Corazón , Bloqueo Atrioventricular/diagnóstico , Cardiotónicos/administración & dosificación , Dobutamina/administración & dosificación , Electrocardiografía , Humanos , Masculino , Persona de Mediana EdadRESUMEN
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.