Transient Global Amnesia Following Dobutamine Stress Echocardiography
- PMID: 40391184
- PMCID: PMC12086023
- DOI: 10.7759/cureus.84357
Transient Global Amnesia Following Dobutamine Stress Echocardiography
Abstract
Transient global amnesia is an uncommon neurological phenomenon characterized by sudden-onset anterograde amnesia, often accompanied by repetitive questioning and transient cognitive dysfunction, which resolves completely within 24 hours. While self-limiting, this can cause significant distress to both patients and their families, particularly when it arises in the context of medical interventions. Dobutamine stress echocardiography, a widely employed non-invasive diagnostic modality for assessing myocardial ischemia, valvular pathology, and left ventricular function, is generally regarded as safe and well-tolerated. There are only a few cases of transient global amnesia after dobutamine stress echocardiography. Our case report may align with the current belief that the adrenergic and hemodynamic stress induced by dobutamine stress echocardiography can occasionally elicit transient global amnesia in predisposed patients, challenging its reputation as a low-risk diagnostic procedure.
Keywords: adrenergic stress; dobutamine stress echocardiography; hippocampal dysfunction; hippocampal hypoperfusion; transient global amnesia.
Copyright © 2025, Hanser et al.
Conflict of interest statement
Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Loma Linda University School of Medicine issued approval IRB# 5250219. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
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References
-
- Transient global amnesia. Ropper AH. N Engl J Med. 2023;388:635–640. - PubMed
-
- The aetiology of transient global amnesia. A case-control study of 114 cases with prospective follow-up. Hodges JR, Warlow CP. Brain. 1990;113 ( Pt 3):639–657. - PubMed
-
- Dobutamine stress echocardiography. Bach D, Armstrong W. Am J Cardiol. 1992;69:90–96. - PubMed
-
- Transient global amnesia after dobutamine--atropine stress echocardiography. Saura D, Peñafiel P, Morales A, Albert L, Martínez F, de la Morena G, Valdés-Chávarri M. Eur J Echocardiogr. 2008;9:567–568. - PubMed
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