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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]
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]
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]
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]
Coronary steal. Coronary steal (with its symptoms termed coronary steal syndrome or cardiac steal syndrome) is a phenomenon where an alteration of circulation patterns leads to a reduction in the blood flow directed to the coronary circulation. [ 1] It is caused when there is narrowing of the coronary arteries and a coronary vasodilator [ 2] is ...
Sympathomimetic drugs are used to treat cardiac arrest and low blood pressure, or even delay premature labor, among other things. These drugs can act through several mechanisms, such as directly activating postsynaptic receptors, blocking breakdown and reuptake of certain neurotransmitters, or stimulating production and release of catecholamines.
Echocardiography, also known as cardiac ultrasound, is the use of ultrasound to examine the heart. It is a type of medical imaging, using standard ultrasound or Doppler ultrasound. [ 1] The visual image formed using this technique is called an echocardiogram, a cardiac echo, or simply an echo . Echocardiography is routinely used in the ...
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 ...