title: Safety of exercise testing in the chest pain unit: 31-mm ST elevation in variant angina.
abstract: We discuss a patient who presented with symptoms classic for variant angina with dramatic 31-mm ST elevation secondary to exercise testing in the chest pain unit, in whom neither myocardial infarction nor severe arrhythmia resulted. Although exercise testing is deemed generally safe, it has not been studied for safety per se in patients with variant angina. Further studies are needed to determine if the magnitude of ST elevation during exercise testing carries prognostic significance.
authors.affiliation: Department of Medicine, University of Southern California/Los Angeles County Medical Center, Los Angeles, CA 90033, USA. ftsai321@yahoo.com
authors.forename: Fausan S
authors.initials: FS
authors.lastname: Tsai
authors.forename: Shahriar
authors.initials: S
authors.lastname: Heidary
authors.forename: Radha
authors.initials: R
authors.lastname: Sarma
authors.forename: Uri
authors.initials: U
authors.lastname: Elkayam
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D005080:Exercise Test / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D018570:Risk Assessment; D012307:Risk Factors