Electrocardiographic responses to maximal exercise during acute pericarditis and early repolarization.
Exercise testing is contraindicated during active pericarditis because of the possibility of myocarditis. In a patient suspected of having ischemic heart disease, a pericardial rub appeared for the first time following a maximal exercise test, during which the elevated J-points descended to baseline. In two normal volunteer subjects with early repolarization during a maximal exercise test, the elevated J-points behaved similarly. We conclude that, contrary to previous belief, electrocardiographic exercise responses cannot distinguish between pericarditis and early repolarization.
D003327:Coronary Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005080:Exercise Test; D006321:Heart / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000175:diagnosis* / Q000503:physiopathology; D005082:Physical Exertion