Attenuation of exercise induced ST elevation in non-obstructive coronary disease--a case for calcium channel blockade?
A male smoker already on atenolol therapy, presented with chest pain and dramatic exercise induced ST segment elevation. Coronary angiography demonstrated non-obstructive disease and treatment with diltiazem abolished ST segment elevation on subsequent exercise testing.
Petrie
C J
CJ
Department of Cardiology, Western Infirmary, Glasgow G11 6NT, Scotland. colinjamespetrie@yahoo.co.uk
Oldroyd
K G
KG
D000788:Angina Pectoris, Variant / Q000188:drug therapy*; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D003327:Coronary Disease / Q000175:diagnosis / Q000188:drug therapy*; D004110:Diltiazem / Q000627:therapeutic use*; D004562:Electrocardiography; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000009:adverse effects; D016896:Treatment Outcome
D002121:Calcium Channel Blockers; D004110:Diltiazem