Exercise-Induced Angina with Intermittent ST-Segment Elevation

Takayuki INOMATA, Yutaka IGARASHI, Katsuya EBE, Tsuneo NAGAI, Akira SHIBATA
1995 Internal medicine (Tokyo. 1992)  
A 59-year-old man was admitted for evaluation of mild exertional angina in the morning. During graded treadmill exercise stress testing, the patient had reproducibly intermittent chest pains associated with ST-segment elevations in leads II, III and aVF. A baseline coronary angiogram showeda coronary narrowing of90%in the middle segment of the right coronary artery. The coronary narrowing was immediately resolved by an intracoronary injection of nitroglycerin. This was a very rare case of
more » ... rare case of variant angina with intermittent ST-segmentelevations and chest pains which were reproducibly demonstrated during exercise and the recovery phase of treadmill testing. (Internal Medicine 34: 597-601, 1995)
doi:10.2169/internalmedicine.34.597 fatcat:wi546bmuajhm3ovtwrvkq3xscq