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. 2013 May 14;8(1):e60-e62.
doi: 10.1016/j.jccase.2013.04.007. eCollection 2013 Jul.

Precordial ST-segment elevation triggered by treadmill exercise test in a sedentary patient

Uğur Canpolat  1 , Hikmet Yorgun  1 , Kudret Aytemir  1 , Ali Oto  1
Affiliations

Precordial ST-segment elevation triggered by treadmill exercise test in a sedentary patient

Uğur Canpolat et al. J Cardiol Cases. .

Abstract

Treadmill exercise test is a widely used noninvasive test for evaluation of coronary artery disease due to cost and availability. Although the incidence of complications related to the test is low, physicians should be careful in patient selection for it. In particular, it should be recommended and performed cautiously in patients with a sedentary lifestyle. Herein, we present a patient with a sedentary lifestyle who developed asymptomatic precordial ST segment elevation. <Learning objective: Treadmill test should be recommended and performed cautiously in patients with a sedentary lifestyle.>.

Keywords: ST elevation; Sedentary lifestyle; Treadmill exercise test.

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Figures

Fig. 1
Fig. 1
(A) Electrocardiography before exercise showing normal sinus rhythm with no ST segment changes. (B) At Bruce stage 4, electrocardiography showing ST segment elevation in V1–5 leads (3–4 mm) and reciprocal ST segment depression in II, III, and aVF derivations (3 mm). (C) Recovery phase electrocardiography showed continuation of ST segment elevation in V1–3 derivations with reciprocal changes again.
Fig. 2
Fig. 2
(A) Coronary angiography revealed significant stenosis at proximal segment of left anterior descending artery (arrow). (B) Bare metal stent implantation was performed to the stenotic segment (arrow). (C) Final flouroscopic view showing successful angiographic result with no residual stenosis (arrow).
Fig. 3
Fig. 3
Electrocardiogram just after percutaneous coronary intervention showed sinus rhythm with no ST segment elevation.
See this image and copyright information in PMC

References

    1. Bruce R.A., Gey G.O., Jr., Cooper M.N., Fisher L.D., Peterson D.R. Seattle Heart Watch: initial clinical, circulatory and electrocardiographic responses to maximal exercise. Am J Cardiol. 1974;33:459–469. - PubMed
    1. Stiles G.L., Rosati R.A., Wallace A.G. Clinical relevance of exercise-induced S-T segment elevation. Am J Cardiol. 1980;46:931–936. - PubMed
    1. Hayashino Y., Shimbo T., Tsujii S., Ishii H., Kondo H., Nakamura T., Nagata-Kobayashi S., Fukui T. Cost-effectiveness of coronary artery disease screening in asymptomatic patients with type 2 diabetes and other atherogenic risk factors in Japan: factors influencing on international application of evidence-based guidelines. Int J Cardiol. 2007;118:88–96. - PubMed
    1. Lipton J.A., Warren S.G., Broce M., Abboud S., Beker A., Sörnmo L., Lilly D.R., Maynard C., Lucas B.D., Jr., Wagner G.S. High-frequency QRS electrocardiogram analysis during exercise stress testing for detecting ischemia. Int J Cardiol. 2008;124:198–203. - PubMed
    1. Palmieri V., Pezzullo S., Arezzi E., D’Andrea C., Cassese S., Martino S., Celentano A. Cycle-ergometry stress testing and use of chronotropic reserve adjustment of ST depression for identification of significant coronary artery disease in clinical practice. Int J Cardiol. 2008;127:390–392. - PubMed

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