Document Detail


Exercise-induced ST-segment elevation during treadmill exercise testing.
MedLine Citation:
PMID:  19162344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The exercise electrocardiogram is a commonly used non-invasive and inexpensive method for detection of electrocardiogram (ECG) changes secondary to myocardial ischemia. It has been reported that in patients with a first myocardial infarction and without residual ischemia, exercise-induced ST-segment elevation in Q leads is related to a more damaged coronary microcirculation and to less viable myocardium. Exercise-induced ST-segment elevation is a rare phenomenon in patients without prior myocardial infarction. When occurring purely during exercise, coronary lesions are frequent and often severe, and on the other hand ST-segment elevation of the recovery phase is frequently associated with normal arteries or less severe lesions. We present a case of exercise-induced ST-segment elevation in a 51-year-old Italian man. Coronary angiography revealed a significant left anterior descending coronary artery stenosis, a significant circumflex coronary artery stenosis, a significant first obtuse marginal coronary artery stenosis and a significant second obtuse marginal coronary artery stenosis. Percutaneous transluminal coronary angioplasty with implantation of stents was successfully performed. Also this case is illustrative of the rare phenomenon of exercise-induced ST-segment elevation.
Authors:
Salvatore Patanè; Filippo Marte
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Publication Detail:
Type:  Case Reports; Letter     Date:  2009-01-21
Journal Detail:
Title:  International journal of cardiology     Volume:  143     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2010-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e54-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2008 Elsevier B.V. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography
Electrocardiography*
Exercise*
Exercise Test / adverse effects*
Humans
Male
Myocardial Ischemia / etiology*,  radiography*

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