title: Reversible ischemic neurological deficit (RIND) due to exercise testing for the diagnosis of angina pectoris.
abstract: A 57 year old Japanese male with chest oppression due to exercise is presented. This symptom was likely due to effort angina pectoris. Master's double two-step test revealed ischemic ST segment depression on the electrocardiogram, thus, a Tl201 myocardial stress imaging test using a bicycle ergometer was undertaken. Immediately following the exercise test, the patient experienced dizziness and palsy in his left upper and lower limbs. Cerebral angiography demonstrated 70% stenosis at the right internal carotid artery, but no abnormal findings were demonstrated on a cranial x-ray CT scan and magnetic resonance imaging. His palsy in the left limbs completely recovered within 3 weeks. Thus this event was diagnosed as a reversible ischemic neurological deficit (RIND). Major but non-cardiogenic complications during exercise testing are very rare, and RIND has not been reported thus far to the best of our knowledge.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nanke
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsumoto
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Wakimoto
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Miyake
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Masahiro
authors.initials: M
authors.lastname: Horiuchi
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Takahashi
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis*; D002545:Brain Ischemia / Q000175:diagnosis* / Q000209:etiology; D002343:Carotid Artery, Internal / Q000473:pathology; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000209:etiology; D038524:Diffusion Magnetic Resonance Imaging; D005080:Exercise Test / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed