[A case of angina pectoris with cardiac arrest at treadmill stress test].
We reported a case of angina pectoris with cardiac arrest immediately after treadmill exercise test, and the effect of PTCA in the same case. A 69-year-old Japanese male had chest oppression on exertion. Initial treadmill test showed 2 mm ST-segment depression in leads V4-6. Two minutes after exercise, he had atrio-ventricular (A-V) block and cardiac arrest with episodes of fainting. He was resuscitated by chest thump. Coronary angiography showed 90% stenosis in the right coronary artery (RCA). PTCA for RCA was able to dilate the stenotic lesion. The second treadmill test after PTCA did not induce bradycardia nor A-V block. It was suggested that the RCA lesion may play a critical role.
Kimura
Y
Y
Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine.
Hoshi
K
K
Inoue
T
T
Takayanagi
K
K
Asahi
S
S
Kase
M
M
Fujito
T
T
Hayashi
T
T
Kamishirado
H
H
Morooka
S
S
D000368:Aged; D000787:Angina Pectoris / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary; D005080:Exercise Test / Q000009:adverse effects*; D006323:Heart Arrest / Q000209:etiology*; D006327:Heart Block / Q000209:etiology; D006801:Humans; D008297:Male; D014630:Vagus Nerve / Q000503:physiopathology