International Journal of Cardiovascular ResearchISSN: 2324-8602

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Case Report, Int J Cardiovasc Res Vol: 4 Issue: 5

Dynamic Left Ventricular Outflow Tract Obstruction: Comparison between Dobutamine and Exercise Stress-Echo

Innocenti F*, Burgisser C, Agresti C and Pini R
Department of Clinical and Experimental Medicine, High Dependency Observation Unit, Azienda Ospedaliero-University Careggi, Florence, Italy
Corresponding author : Francesca Innocenti, MD
High Dependency Observation Unit, Largo Brambilla 4, 50142 Firenze, Italy
Tel: +39 055 7947748;
E-mail: francescaeluigi@libero.it
Received: September 04, 2014 Accepted: April 27, 2015 Published: April 29, 2015
Citation: Innocenti F, Burgisser C, Agresti C, Pini R (2015) Dynamic Left Ventricular Outflow Tract Obstruction: Comparison between Dobutamine and Exercise Stress-Echo. Int J Cardiovasc Res 4:5. doi:10.4172/2324-8602.1000224

 

Abstract

Dynamic Left Ventricular Outflow Tract Obstruction: Comparison between Dobutamine and Exercise Stress-Echo

A 62 years old man with high cardiovascular risk profile underwent dobutamine stress echocardiography for suspected silent myocardial ischemia; the test showed severe dynamic intraventricular obstruction (maximum gradient 210 mmHg) and was prematurely stopper for high intraventricular gradient. A maximal exercise stress-echo, performed according to Bruce protocol, showed the same response, in absence of any new asynergic area.

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