CHARLES S. MCCAULEY, M.D.; MELVIN S. BLUMENTHAL, M.D.
To the editor: Since their first reported use in 1983 (1, 2), infusions of dobutamine to outpatients have been used in the management of severe congestive heart failure. Although life-threatening complications have been reported with this inotropicagent, a less serious but bothersome problem developed in a patient of ours who had idiopathic dilated cardiomyopathy.
In April 1985, a 60-year-old man presented to the outpatient clinic with dyspnea on exertion and general fatigue of 1 month's duration. Physical findings were consistent with congestive heart failure, and echocardiography showed general hypokinesia and a calcified aortic valve. Cardiac catheterization and coronary angiography showed
MCCAULEY CS, BLUMENTHAL MS. Dobutamine and Pruritus of the Scalp. Ann Intern Med. ;105:966. doi: 10.7326/0003-4819-105-6-966_1
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Published: Ann Intern Med. 1986;105(6):966.
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