Exercise-induced angina with intermittent ST-segment elevation.
A 59-year-old man was admitted for evaluation of mild exertional angina in the morning. During graded treadmill exercise stress testing, the patient had reproducibly intermittent chest pains associated with ST-segment elevations in leads II, III and aVF. A baseline coronary angiogram showed a coronary narrowing of 90% in the middle segment of the right coronary artery. The coronary narrowing was immediately resolved by an intracoronary injection of nitroglycerin. This was a very rare case of variant angina with intermittent ST-segment elevations and chest pains which were reproducibly demonstrated during exercise and the recovery phase of treadmill testing.
Inomata
T
T
Division of Cardiology, Nagaoka Red-Cross Hospital.
Igarashi
Y
Y
Ebe
K
K
Nagai
T
T
Shibata
A
A
D000787:Angina Pectoris / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology*; D004562:Electrocardiography; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use
D005996:Nitroglycerin