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01-02-2015 | Heart Beat | Uitgave 2/2015 Open Access

Netherlands Heart Journal 2/2015

Additive value of dobutamine stress echocardiography in patients with an anomalous origin of a coronary artery

Netherlands Heart Journal > Uitgave 2/2015
MD Heleen Lameijer, MD Jozine M. ter Maaten, MD Robbert C. Steggerda
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The online version of this article (doi: 10.​1007/​s12471-014-0648-3) contains supplementary material, which is available to authorized users.


An anomalous origin of a coronary artery (AOCA) is the second most common cause of non-traumatic sudden cardiac death in young athletes. Patients with a malignant course of an AOCA of the right coronary artery only need surgical correction when myocardial ischaemia is detected. An AOCA and its malignant or benign course can be detected by coronary angiography, coronary computed tomography or cardiac magnetic resonance imaging. Detection of ischaemia can be more difficult since even a negative maximal-effort stress ECG does not exclude a potential lethal coronary anomaly. Also, there are no case series or trials showing sensitivity or specificity for any form of ischaemia detection for AOCA in the literature. Although not described previously in adults, dobutamine stress echocardiography was previously described in a paediatric population with AOCA. We are the first to describe ischaemia detection by dobutamine stress echocardiography in three adult patients with an AOCA of the right coronary artery who were subsequently referred for surgery.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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