ST-Segment Elevation During Treadmill Exercise Test in a Patient without Prior Myocardial Infarction. A Case Report and Literature Review
Vasiliki Katsi*, Konstantinos Konstantinou, Antonios Karanasos, Ilias Tolis, Sophia Vaina, Eleftherios Tsiamis, Dimitrios Tousoulis
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.
* Address correspondence to this author at the Department of Cardiology, University of Athens Medical School, Hippokration Hospital, Athens, Greece; Tel: 00302132088026; E-mail: Vkkatsi@yahoo.gr