Medical Specialty:
Cardiovascular / Pulmonary

Sample Name: Stress Test Dobutrex


Description: Dobutrex stress test for abnormal EKG
(Medical Transcription Sample Report)


INDICATIONS: Abnormal EKG.

STRESS TECHNIQUE: Dobutrex was infused at 10 µg/kg/minute increasing in three-minute intervals. Maximum heart rate was 113. No significant EKG changes noted.

NARRATIVE: Uptake of radioisotope was adequate in all views. There was an inferior abnormality noted in the short axis view from 4:00-6:30. In the vertical long axis view, there was an inferior abnormality with minimal improvement. The horizontal long axis view had a lateral apical abnormality with no change.

WALL MOTION: The left ventricle was of normal size and motion. All wall segments moved normally.

EJECTION FRACTION: 72%.

CONCLUSIONS:
1. Negative Dobutrex stress test.
2. Normal wall motion and ejection fraction.
3. Abnormal nuclear scan consistent with possible underlying ischemic heart disease. Clinical correlation suggested.

Keywords: cardiovascular / pulmonary, dobutrex stress test, abnormal ekg, dobutrex, inferior abnormality, ischemic heart disease, ventricle, µg/kg/minute, stress test, stress,