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European Journal of Echocardiography Advance Access published online on August 16, 2007
European Journal of Echocardiography, doi:10.1016/j.euje.2007.06.016
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Transient global amnesia after dobutamine—atropine stress echocardiography

Daniel Saura*, Pablo Peñafiel, Ana Morales, Laura Albert, Francisco Martínez, Gonzalo de la Morena and Mariano Valdés-Chávarri

Hospital Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena S/N. 30120 Murcia, Spain

Received 12 May 2007; accepted after revision 20 June 2007.

* Corresponding author. C/Puerta de Orihuela, 3 Bis, 7D, 30003 Murcia, Spain. Tel: +34 657301239; fax: +34 968369662. E-mail address: danielsaura{at}secardiologia.es (D. Saura).


  Abstract

Dobutamine—atropine stress echocardiography is a useful and relatively safe test for coronary artery disease assessment. However, possible complications should be recognized. We describe a case of transient global amnesia in a woman who underwent a standard-protocol dobutamine—atropine stress echocardiogram for coronary ischaemia detection, after having complained about chest pain. The test was not positive for coronary ischaemia, but a typical picture of transient global amnesia ensued. Symptoms shortly resolved spontaneously. Neurological work up was negative for organic disease. Transient global amnesia is a neurological syndrome of unknown origin and good prognosis. Dobutamine—atropine stress echocardiography can be added to the described precipitants of transient global amnesia. This neurological syndrome should be taken into account as a possible complication of dobutamine—atropine stress echocardiography.

Keywords: Stress echocardiography; Dobutamine; Atropine; Amnesia; Complications


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