{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:43:17Z","timestamp":1756381397475,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,24]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Dobutamine stress echocardiogram (DSE) is considered a safe and reliable method for screening for underlying myocardial ischaemia. We report a case of a 60-year-old man who developed inferior ST-segment elevation myocardial infarction within 30\u2009minutes of a normal DSE. The patient was found to have a 99% in-stent restenosis in the mid-right coronary artery with significant thrombosis for which successful percutaneous coronary intervention (PCI) was performed. Acute coronary syndrome after a normal DSE has been rarely reported in the literature. The reported cases were found to have obstructive or non-obstructive coronary plaques with overlying thrombus, which suggests plaque destabilisation and rupture as the possible underlying mechanism behind coronary occlusion.<\/jats:p>","DOI":"10.1136\/bcr-2018-228080","type":"journal-article","created":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T04:27:55Z","timestamp":1547180875000},"page":"bcr-2018-228080","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dobutamine stress echocardiogram-related in-stent thrombosis with acute myocardial infarction"],"prefix":"10.1136","volume":"12","author":[{"given":"Puneet","family":"Gupta","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Missouri Health Care, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Chockalingam","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Missouri Health Care, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,1,10]]},"reference":[{"key":"2025082804005360000_12.1.bcr-2018-228080.1","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.euje.2004.04.006","article-title":"Acute myocardial infarction after a negative dobutamine stress echocardiogram","volume":"5","author":"Elhendy","year":"2004","journal-title":"Eur J Echocardiogr"},{"key":"2025082804005360000_12.1.bcr-2018-228080.2","doi-asserted-by":"crossref","first-page":"e238","DOI":"10.18295\/squmj.2016.16.02.017","article-title":"Acute anteroseptal myocardial infarction after a negative exercise stress test","volume":"16","author":"Al-Alawi","year":"20162016","journal-title":"Sultan Qaboos Univ Med J"},{"key":"2025082804005360000_12.1.bcr-2018-228080.3","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1177\/000331979504600610","article-title":"Acute myocardial infarction shortly after a normal exercise stress test. 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