ST-Segment Elevation During Treadmill Exercise Test in a Patient without Prior Myocardial Infarction. A Case Report and Literature Review

Author:

Katsi Vasiliki,Konstantinou Konstantinos,Karanasos Antonios,Tolis Ilias,Vaina Sophia,Tsiamis Eleftherios,Tousoulis Dimitrios

Abstract

Exercise-induced ST-elevation is extremely uncommon especially in patients without prior myocardial infarction. It is more common among post-infarction patients with Q waves on the resting ECG. In the current case we report a 50-year-old man with a history of chest pain on exertion started four months ago. During the exercise test, ST-elevation was observed in leads II, III, AVF. Coronary angiography revealed significant stenoses in the right coronary artery and left circumflex artery, which were treated with percutaneous coronary intervention. This case highlights the rare finding of exercise-induced ST-elevation and reviews possible mechanisms.

Publisher

Bentham Science Publishers Ltd.

Subject

Cardiology and Cardiovascular Medicine

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