ST-Segment Elevation During Treadmill Exercise Test in a Patient without Prior Myocardial Infarction. A Case Report and Literature Review
Vasiliki Katsia, *, Konstantinos Konstantinoua, Antonios Karanasosa, Ilias Tolisa, Sophia Vainaa, Eleftherios Tsiamisa, Dimitrios Tousoulisa
Identifiers and Pagination:Year: 2019
First Page: 37
Last Page: 40
Publisher Id: TOCMJ-13-37
Article History:Received Date: 09/03/2019
Revision Received Date: 10/04/2019
Acceptance Date: 04/06/2019
Electronic publication date: 24/07/2019
Collection year: 2019
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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.