title: [A case of angina pectoris with cardiac arrest at treadmill stress test].
abstract: 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.
authors.affiliation: Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine.
authors.forename: Y
authors.initials: Y
authors.lastname: Kimura
authors.forename: K
authors.initials: K
authors.lastname: Hoshi
authors.forename: T
authors.initials: T
authors.lastname: Inoue
authors.forename: K
authors.initials: K
authors.lastname: Takayanagi
authors.forename: S
authors.initials: S
authors.lastname: Asahi
authors.forename: M
authors.initials: M
authors.lastname: Kase
authors.forename: T
authors.initials: T
authors.lastname: Fujito
authors.forename: T
authors.initials: T
authors.lastname: Hayashi
authors.forename: H
authors.initials: H
authors.lastname: Kamishirado
authors.forename: S
authors.initials: S
authors.lastname: Morooka
mesh_terms: 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