Acute myocardial infarction shortly after a normal exercise stress test. Case reports.
The authors describe 3 cases of AMI occurring shortly after a negative bicycle ergometer stress test. These cases represent an unfortunate but extremely rare complication of a relatively safe diagnostic procedure. The authors also focus on the pathogenesis of the ischemic event, which may be attributed either to intraplaque hemorrhage or to platelet aggregation, both exercise-induced. The prevalence of AMI in this paper (0.06%) is similar to the data described in literature.
Capezzuto
A
A
Division of Cardiology, Belcolle Hospital, Viterbo, Italy.
Achilli
A
A
Pontillo
D
D
Sassara
M
M
De Spirito
S
S
Guerra
R
R
D000328:Adult; D006328:Cardiac Catheterization; D004562:Electrocardiography; D005080:Exercise Test / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors