Atropine-Induced Ventricular Asystole During a Dobutamine Stress Test

Kevin G. Buda, Joseph D. Steffens, Abdulrahman Gamam, Shrikar Rajagopal, Fredrick Ogugua, Jorge L. Reyes, Rehan Karim, Charles A. Herzog


Dobutamine stress echocardiography is a safe diagnostic test with low incidence of serious complications. Atropine has been shown to reduce test duration without increasing the rate of complications. We present a case of a 52-year-old man with end stage renal disease who experienced syncope due to ventricular asystole after atropine administration during a dobutamine stress test. The underlying pathophysiology is discussed.

J Med Cases. 2020;11(5):125-128


Atropine; Asystole; Dobutamine stress echocardiography; Transthoracic echocardiography

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