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Apical ballooning syndrome precipitated by dobutamine stress testing
  1. Anthony F Yu1,
  2. Sumeet S Mitter2,
  3. Hina W Chaudhry1
  1. 1Department of Cardiology, Zena and Michael A. Wiener Cardiovsacular Institute, Mount Sinai Medical Center, New York, USA
  2. 2Department of Internal Medicine, Mount Sinai Medical Center, New York, USA
  1. Correspondence to Dr Anthony F Yu, Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai Medical Center, 1 Gustave L. Levy Place, Box 1030, New York, NY 10029-6574, USA; Anthony.Yu{at}mountsinai.org

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A 52-year-old man with a history of hypertension, insulin-dependent diabetes mellitus and hyperlipidaemia was referred for a dobutamine stress echocardiogram as part of a pre-renal transplant evaluation. The baseline echocardiogram showed normal systolic function with no wall-motion abnormalities (see videos 1 and 2). At peak dobutamine infusion, he developed severe abdominal pain associated with deep T-wave inversions in leads aVR and V1 and 0.5 mm ST-segment elevations in leads I …

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