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A cardiac stress test is a cardiological examination that evaluates the cardiovascular system's response to external stress within a controlled clinical setting. This stress response can be induced through physical exercise (usually a treadmill) or intravenous pharmacological stimulation of heart rate. [ 1]
Dobutamine is a medication used in the treatment of cardiogenic shock (as a result of inadequate tissue perfusion) and severe heart failure. [ 2][ 3] It may also be used in certain types of cardiac stress tests. [ 2] It is given by IV only, as an injection into a vein or intraosseous as a continuous infusion. [ 2]
Coronary ischemia, myocardial ischemia, [ 1] or cardiac ischemia, [ 2] is a medical term for abnormally reduced blood flow in the coronary circulation through the coronary arteries. [ 3] Coronary ischemia is linked to heart disease, and heart attacks. [ 4] Coronary arteries deliver oxygen-rich blood to the heart muscle. [ 5]
Cardiac allograft vasculopathy. Cardiac allograft vasculopathy (CAV) is a progressive type of coronary artery disease in people who have had a heart transplant. [ 1] As the donor heart has lost its nerve supply there is typically no chest pain, and CAV is usually detected on routine testing. [ 2]
Hypertrophic cardiomyopathy ( HCM, or HOCM when obstructive) is a condition in which muscle tissues of the heart become thickened without an obvious cause. [ 8] The parts of the heart most commonly affected are the interventricular septum and the ventricles. [ 10]
Takotsubo cardiomyopathy or takotsubo syndrome (TTS), also known as stress cardiomyopathy, is a type of non- ischemic cardiomyopathy in which there is a sudden temporary weakening of the muscular portion of the heart. [ 4] It usually appears after a significant stressor, either physical or emotional; when caused by the latter, the condition is ...
Echocardiography: A wall motion abnormality at rest which improves during a low-dose dobutamine stress test is classified as "hibernating myocardium." Low dose dobutamine stimulates contractile function and thus helps to predict functional recovery after revascularization. Cardiac magnetic resonance: The most frequently used MR contrast agents ...
Certain medications, such as dobutamine and milrinone, improve the heart's ability to contract and can also be used. When these measures fail, more advanced options such as mechanical support devices or heart transplantation can be pursued. Cardiogenic shock is a condition that is difficult to fully reverse even with an early diagnosis. [4]