title: ST segment depression in asymptomatic male patient with normal coronary arteries.
abstract: ST segment depression and T waves inversion are electrocardiographic (ECG) repolarization abnormalities often encountered in clinical medical practice that have been proved to predict future cardiovascular events. We present the case of a 62-year-old male patient, asymptomatic, with ST segment depression and inverted T waves discovered incidentally on resting ECG. Echocardiographic and laboratory examinations ruled out multiple causes of ECG abnormalities. Suspecting a silent myocardial ischemia, an ECG exercise stress test was performed; it revealed pseudo normalization of T waves during exercise and early recovery phase. Being inconclusive, a coronary CT was the final election test; it showed normal coronary arteries with no stenosis, the patient being scheduled for regular follow-up. The possible causes of ST segment depression are reviewed since it is important that early cardiovascular signs especially in asymptomatic patients to be prevented and detected.
authors.forename: O
authors.initials: O
authors.lastname: Mitu
authors.forename: F
authors.initials: F
authors.lastname: Mitu
authors.forename: Maria Magdalena
authors.initials: MM
authors.lastname: Leon
authors.forename: M
authors.initials: M
authors.lastname: Roca
authors.forename: Mariana
authors.initials: M
authors.lastname: Graur
mesh_terms: D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology; D004562:Electrocardiography; D005080:Exercise Test; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000503:physiopathology; D011859:Radiography