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Brittain EL, Irani WN, Ahmad RM, et al. Dobutamine Stress Echocardiography for the Bedside Assessment of Viability Following a Motor Vehicle Accident and Subsequent Myocardial Infarction: A Case Report. Open J Cardiovasc Surg. 2012;5:5-9doi: 10.4137/OJCS.S8319.
Brittain, E. L., Irani, W. N., Ahmad, R. M., & Monahan, K. (2012). Dobutamine Stress Echocardiography for the Bedside Assessment of Viability Following a Motor Vehicle Accident and Subsequent Myocardial Infarction: A Case Report. Open journal of cardiovascular surgery, 55-9. https://doi.org/10.4137/OJCS.S8319
Brittain, Evan L, et al. "Dobutamine Stress Echocardiography for the Bedside Assessment of Viability Following a Motor Vehicle Accident and Subsequent Myocardial Infarction: A Case Report." Open journal of cardiovascular surgery vol. 5 (2012): 5-9. doi: https://doi.org/10.4137/OJCS.S8319
Brittain EL, Irani WN, Ahmad RM, Monahan K. Dobutamine Stress Echocardiography for the Bedside Assessment of Viability Following a Motor Vehicle Accident and Subsequent Myocardial Infarction: A Case Report. Open J Cardiovasc Surg. 2012 Apr 18;5:5-9. doi: 10.4137/OJCS.S8319. eCollection 2012. PMID: 26949340; PMCID: PMC4767133.
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Open J Cardiovasc Surg. 2012 Apr 18;5:5-9. doi: 10.4137/OJCS.S8319. eCollection 2012.

Dobutamine Stress Echocardiography for the Bedside Assessment of Viability Following a Motor Vehicle Accident and Subsequent Myocardial Infarction: A Case Report.

Open journal of cardiovascular surgery

Evan L Brittain, Waleed N Irani, Rashid M Ahmad, Ken Monahan

Affiliations

  1. Division of Cardiovascular Medicine.
  2. Department of Cardiac and Thoracic Surgery.

PMID: 26949340 PMCID: PMC4767133 DOI: 10.4137/OJCS.S8319

Abstract

The authors describe a case of a critically ill patient presenting after motor vehicle trauma complicated by anterior myocardial infarction and cardiogenic shock. Assessment of myocardial viability in the territory of a critically stenosed left anterior descending artery (LAD) was necessary to determine the optimal management strategy. Bedside dobutamine stress echocardiography (DSE) demonstrated viability in the LAD territory and the patient underwent uncomplicated single-vessel bypass surgery with subsequent improvement in left-ventricular function. This case illustrates the utility of bedside DSE to assess myocardial viability in patients for whom other non-invasive modalities are not feasible.

Keywords: dobutamine stress echocardiography; ischemic heart disease; myocardial viability

References

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