TABLE 1

Vasodilator Characteristics

Pharmacologic agentClassMechanism of actionDoseDurationInfusion pump requiredHalf-lifeIncrease in coronary flowIncidence of atrioventricular block (vasodilators)
AdenosineDirect coronary artery vasodilatorNonselective adenosine receptor agonist140 μg/kg/min (up to 125 kg)6-min infusion with radiopharmaceutical injection at 3 minYes<10 s3.5–4 times baseline8% of studies
DipyridamoleIndirect coronary artery vasodilatorNonselective adenosine receptor agonist142 μg/kg/min (up to 125 kg)4-min infusion with radiopharmaceutical injection at 3–5 min afterwardNo30–45 min3.8–7 times baseline2% of studies
RegadenosonDirect coronary artery vasodilatorSelective A2A receptor agonist400 μg10-s infusion with radiopharmaceutical injection at 20–30 s afterwardNoInitial phase, 2–4 min; intermediate, 30 min; terminal, 2 h2.5 times baseline3% of studies
DobutamineInotropic agentDirect β1 and β2 stimulation3-min incremental stages: 10, 20, 30, 40 μg/kg/minUntil target heart rate or 12-min maximum is reachedYes<3 min2–3 times baselineNot applicable