Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging

Regadenoson is a selective adenosine 2a (A2a) receptor agonist that is used in cardiac stress testing to evaluate for ischemic heart disease and has largely replaced adenosine in the modern era. Since adenosine receptors are involved in synaptic transmission between neurons throughout the central ne...

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Main Authors: Sohab S. Radwan, Owen G. Schwartz
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/6240605
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author Sohab S. Radwan
Owen G. Schwartz
author_facet Sohab S. Radwan
Owen G. Schwartz
author_sort Sohab S. Radwan
collection DOAJ
description Regadenoson is a selective adenosine 2a (A2a) receptor agonist that is used in cardiac stress testing to evaluate for ischemic heart disease and has largely replaced adenosine in the modern era. Since adenosine receptors are involved in synaptic transmission between neurons throughout the central nervous system (CNS) including the cerebral cortex, hippocampus, and other structures as well, regadenoson can lower the seizure threshold in susceptible individuals. Epileptogenic activity is an uncommon yet potentially severe adverse effect of regadenoson use, and therefore, more awareness is required in screening patients at risk and evaluating alternate ways to investigate coronary artery disease (CAD) in susceptible individuals.
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spelling doaj-art-026144cae68942769d030d23e8515cd22025-08-20T03:54:25ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/62406056240605Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion ImagingSohab S. Radwan0Owen G. Schwartz1Department of Internal Medicine, MedStar Washington Hospital Center, USADepartment of Internal Medicine, MedStar Washington Hospital Center, USARegadenoson is a selective adenosine 2a (A2a) receptor agonist that is used in cardiac stress testing to evaluate for ischemic heart disease and has largely replaced adenosine in the modern era. Since adenosine receptors are involved in synaptic transmission between neurons throughout the central nervous system (CNS) including the cerebral cortex, hippocampus, and other structures as well, regadenoson can lower the seizure threshold in susceptible individuals. Epileptogenic activity is an uncommon yet potentially severe adverse effect of regadenoson use, and therefore, more awareness is required in screening patients at risk and evaluating alternate ways to investigate coronary artery disease (CAD) in susceptible individuals.http://dx.doi.org/10.1155/2019/6240605
spellingShingle Sohab S. Radwan
Owen G. Schwartz
Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging
Case Reports in Cardiology
title Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging
title_full Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging
title_fullStr Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging
title_full_unstemmed Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging
title_short Seizure: An Adverse Effect of Regadenoson in Myocardial Perfusion Imaging
title_sort seizure an adverse effect of regadenoson in myocardial perfusion imaging
url http://dx.doi.org/10.1155/2019/6240605
work_keys_str_mv AT sohabsradwan seizureanadverseeffectofregadenosoninmyocardialperfusionimaging
AT owengschwartz seizureanadverseeffectofregadenosoninmyocardialperfusionimaging