Complications and side effects associated with dobutamine stress chocardiography at the Riga East clinical university hospital

Katrīna Podoļska, Dāvis Niks Pretkalniņš, Artem Kalinin (Scientific Advisor)

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Introduction. Dobutamine stress echocardiography (DSE) is a widely used pharmacologic stress testing with simultaneous echocardiographic visualization of cardiac structures for the diagnosis and evaluation of coronary artery disease. Aim. To determine the incidence of DSE complications and side effects at the Riga East Clinical University Hospital. Materials and methods. Retrospectively, 224 (104 female, 120 male) patients with DSE protocols performed at RAKUS in 2019 were analyzed and the incidence of complications and side effects were assessed. The mean age of the study group is 65.69 ± 9.8 years old. In 46.40% of cases, atropine was used. Attaining target heart rate – 89.70%. Data were statistically processed using IBM SPSS Statistics. Results. The overall incidence of side effects caused by DSE is 74.1%. No serious complications such as death,asystole, ventricular fibrillation, persistent ventricular tachycardia, myocardial infarction were observed. Chest pain occurs in 21% of cases, ventricular extrasystoles – 33%, supraventricular extrasystoles – 15.60%, nonsustained ventricular tachycardia – 10.30%, paroxysmal supraventricular tachycardia – 4.50% and paroxysmal atrial fibrillation – 1.30%. Hypotension was observed in 12.50% and severe hypertension in 1%. Left ventricular outflow tract obstruction was observed in 17% and left ventricular mid-cavity obstruction in 2.20%. Among non-cardiac side effects, the most commonly observed was dyspnea – 6.30%. Conclusion. No life-threatening complications were observed. Non-cardiac complications are rare. The most common of arrhythmias are ventricular and supraventricular extrasystoles
Original languageEnglish
Title of host publicationProceedings of the 62nd International Scientific Conference of Daugavpils University
Subtitle of host publicationPart A. Natural Sciences
EditorsIrēna Kokina
Place of PublicationDaugavpils
PublisherDaugavpils University
Pages57-64
ISBN (Print)978-9984-14-925-7
Publication statusPublished - 2020
Event62nd International Scientific Conference of Daugavpils University - Daugavpils, Latvia
Duration: 28 May 202029 May 2020
Conference number: 62

Conference

Conference62nd International Scientific Conference of Daugavpils University
Country/TerritoryLatvia
CityDaugavpils
Period28/05/2029/05/20
OtherDaugavpils Universitātes 62. starptautiskā zinātniskā konference

Keywords

  • dobutamine
  • stress echocardiography
  • side effects
  • complications

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 3.2. Articles or chapters in other proceedings other than those included in 3.1., with an ISBN or ISSN code

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