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A patient with known aortoiliac occlusive disease and hypertension suffered a cerebrovascular accident 6.5 min after the administration of intravenous dipyridamole during a 201Tl myocardial study. Despite aminophylline administration, the patient developed a completed stroke. The mechanism most likely responsible for precipitating this patient's stroke is dipyridamole-induced vascular steal. Although dipyridamole-201Tl myocardial imaging is relatively free of major complications, the morbidity and mortality associated with a cerebrovascular accident is significant. The possibility of precipitating a cerebrovascular accident during dipyridamole-201Tl imaging should be considered in all patients with significant risk factors for stroke before performing a dipyridamole cardiac study.
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
April 1995,
The Annals of pharmacotherapy,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
April 1986,
British heart journal,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
September 1989,
DICP : the annals of pharmacotherapy,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
December 1989,
Angiology,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
November 1988,
Clinical nuclear medicine,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
April 2003,
Nihon rinsho. Japanese journal of clinical medicine,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
August 1991,
Journal of nuclear medicine : official publication, Society of Nuclear Medicine,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
February 1981,
Zeitschrift fur Kardiologie,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
October 1986,
Nederlands tijdschrift voor geneeskunde,
J H Whiting, and
F L Datz, and
F V Gabor, and
S R Jones, and
K A Morton
January 1992,
Pharmacotherapy,
