{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T15:45:57Z","timestamp":1762098357234},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T00:00:00Z","timestamp":1233705600000},"content-version":"vor","delay-in-days":4539,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1996,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Dobutamine stress echocardiography (DSE) has been widely used for the noninvasive diagnosis of obstructive coronary artery disease. The ST\u2010segment elevation during DSE has been reported as an infrequent event, caused by old myocardial infarction and\/or critical coronary narrowings. The patient presented here was a 35\u2010year\u2010old man with a recent history of nonexertional chest pain. He had hyperc\u2010holesterolemia and a history of heavy smoking as risk factors. The patient developed ST\u2010segment elevation with chest pain during 40 mcg\/min dobutamine infusion for the stress echocardiographic examination. Subsequent coronary angiograms revealed only mild coronary atherosclerosis. It is speculated that coronary spasm occurred in this patient as a paradoxical response to increased coronary blood flow with dobutamine administration.<\/jats:p>","DOI":"10.1002\/clc.4960190916","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T07:39:29Z","timestamp":1233733169000},"page":"755-758","source":"Crossref","is-referenced-by-count":22,"title":["Provocation of coronary spasm by dobutamine stress echocardiography in a patient with angiographically minimal coronary artery disease"],"prefix":"10.1002","volume":"19","author":[{"given":"Ubeydullah","family":"Deligonul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Armbruster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Admassu","family":"Hajlu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,4]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1093\/oxfordjournals.eurheartj.a060051","article-title":"Dobutamine stress echocardiography: Its role in the diagnosis of coronary artery disease","volume":"13","author":"Salustri A","year":"1992","journal-title":"Eur Heart J"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.87.2.345"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90388-3"},{"key":"e_1_2_1_5_2","first-page":"I","article-title":"Significance of ST\u2010segment elevation during dobutamine stress test: Clinical characteristics and evaluation by SPECT (abstr)","volume":"90","author":"Elhendy A","year":"1994","journal-title":"Circulation"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1093\/oxfordjournals.eurheartj.a060306","article-title":"Dobutamine\u2010induced ST segment elevation in a patient with angina at rest and critical coronary lesions","volume":"13","author":"Previtali M","year":"1992","journal-title":"Eur Heart J"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/12.11.1198"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(59)90003-8"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(80)90021-1"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.67.2.310"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)91068-0"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(88)90449-4"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.74.2.262"},{"key":"e_1_2_1_14_2","unstructured":"ChaitmanBR:Exercise stress testing. 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