Clinical Relevance of Chest Pain during Dobutamine Stress Echocardiography

Authors

1 Cardiology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

2 Cardiology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Introduction; Chest pain is a common presentation in emergency units in daily life. Dobutamine stress echocardiography (DSE) was considered an early non-invasive method that help stratifying the risk for development of CVD. However, many patients experience chest pain shortly after DSE. Aim of study; assess the relevance between chest pain during DSE in those who are negative for DSE and presence of atherosclerosis in coronary angiography. Methods; 150 patients admitted to catheter unit in Cardiology Department at Al-Hussein Hospitals between June 2021 and June 2022 with chest pain despite negative DSE. They all underwent coronary angiography. Results; The median age of patients was 50.99 ± 8.29 years old. 56.7% of patients were males. 24.7% of patients were diabetic. After PCA, 15.3% of patients had severe coronary arteries stenosis. We found that 6% of patients had severe stenosis of Left anterior descending and right main coronary arteries (p