Causative Agents
It is associated with dipyridamole. Hence, dipyridamole is a pharmacological success, but a therapeutic failure because of the coronary steal phenomenon.
Coronary steal is also the mechanism in most drug-based cardiac stress tests; When a patient is incapable of doing physical activity they are given a vasodilator that produces a "cardiac steal syndrome" as a diagnostic procedure. The test result is positive if the patient's symptoms reappear or if ECG alterations are seen.
It is also associated with the administration of Isoflurane, which is an inhaled anesthetic. Hydralazine can potentially cause this condition as well, as it is a direct arteriolar vasodilator.
It has been associated with nitroprusside.
Read more about this topic: Coronary Steal
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