title: Acute Anteroseptal Myocardial Infarction after a Negative Exercise Stress Test.
abstract: A myocardial infarction is a rare complication which can occur after an exercise stress test. We report a 48-year-old male who was referred to the Mildura Cardiology Practice, Victoria, Australia, in August 2014 with left-sided chest pain. He underwent an exercise stress test which was negative for myocardial ischaemia. However, the patient presented to the Emergency Department of the Mildura Base Hospital 30 minutes after the test with severe retrosternal chest pain. An acute anteroseptal ST segment elevation myocardial infarction was observed on electrocardiography. After thrombolysis, he was transferred to a tertiary hospital where coronary angiography subsequently revealed significant left anterior descending coronary artery stenosis. Thrombus aspiration and a balloon angioplasty were performed. The patient was discharged three days after the surgical procedure in good health.
authors.affiliation: Department of Medicine, Alfred Hospital, Melbourne, Victoria, Australia;; Department of Medicine, Mildura Cardiology Practice, Mildura, Victoria, Australia.
authors.forename: Abdullah M
authors.initials: AM
authors.lastname: Al-Alawi
authors.affiliation: Department of Medicine, Alfred Hospital, Melbourne, Victoria, Australia;; Department of Medicine, Mildura Cardiology Practice, Mildura, Victoria, Australia.
authors.forename: Jyotsna
authors.initials: J
authors.lastname: Janardan
authors.affiliation: Department of Medicine, Alfred Hospital, Melbourne, Victoria, Australia;; Department of Medicine, Mildura Cardiology Practice, Mildura, Victoria, Australia.
authors.forename: Kah Y
authors.initials: KY
authors.lastname: Peck
authors.affiliation: Department of Medicine, Mildura Cardiology Practice, Mildura, Victoria, Australia.
authors.forename: Alan
authors.initials: A
authors.lastname: Soward
keywords: Atherosclerotic Plaques; Australia; Case Report; Coronary Artery Disease; Exercise Test; Myocardial Infarction; Physical Exertion