Safety of exercise testing in the chest pain unit: 31-mm ST elevation in variant angina.
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.
Tsai
Fausan S
FS
Department of Medicine, University of Southern California/Los Angeles County Medical Center, Los Angeles, CA 90033, USA. ftsai321@yahoo.com
Heidary
Shahriar
S
Sarma
Radha
R
Elkayam
Uri
U
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