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Table 2 Serious and fatal complications of exercise and pharmacologic cardiac stress testing (rate of observed and reported events per 1000). Reproduced with permission from Dilsizian et al. [3]

From: Aminophylline shortage and current recommendations for reversal of vasodilator stress: an ASNC information statement endorsed by SCMR

 

Exercise

Dobutamine

Dipyridamole

MPI

Adenosine

MPI

Regadenoson

MPI

Gadolinium MPI

Any serious complication

0.1–3.46

2.988

0.714–2.6

0.97

Case reports

NR

Death

0–0.25

Case reports

0.5

Case reports

Case reports

NR

VFib/VTach

0–25.7

0.6–1.35

NR

NR

NR

NR

Acute MI

0.038

0.3–3.0

1.0

0.108

Case reports

NR

Cardiac rupture

Unknown

Case reports

NR

NR

NR

NR

High degree AVB or asystole

Unknown

NR

Case reports

Case reports

Case reports

NR

Bronchospasm

Unknown

NR

1.5

0.76

Case reports

NR

Stroke/TIA

Unknown

Case reports

NR

NR

Case reports

NR

AFib

Unknown

5–40

NR

NR

Case reports

NR

Seizure

Unknown

Case reports

NR

1.5

Case reports

NR

CIN

NR

NR

NR

NR

NR

NR

NSF

NR

NR

NR

NR

NR

0–18%a

Radiation-Induced Cancer

NR

NR

NR (theoretical)

NR (theoretical)

NR (theoretical)

NR

  1. AVB atrioventricular block, AFib atrial fibrillation, CIN contrast induced nephropathy, MI myocardial infarction, NSF nephrogenic systemic fibrosis, NR not reported, TIA transient ischemic attack, VFib ventricular fibrillation, VTach ventricular tachycardia
  2. aRate of NSF is negligible if not zero in the current era of not administering gadolinium if the estimated glomerular filtration rate is < 30 ml/min/1.74 m2
  3. References for entries are reported in Dilsizian et al. [3]