Acute ST segment elevation during exercise stress echocardiography due to severe pulmonary hypertension.
Cardiovasc Ultrasound
; 9: 18, 2011 Jun 06.
Article
in En
| MEDLINE
| ID: mdl-21645399
ABSTRACT
A 51-year-old female undergoing an outpatient stress echocardiogram to evaluate atypical chest pain developed acute ST elevation in the anterior precordial leads on electrocardiogram following exercise. Echocardiography revealed a severe rise in pulmonary artery systolic pressure (PASP) with marked right ventricular (RV) enlargement and interventricular septum flattening. Subsequently, cardiac catherization confirmed an exercise-induced elevation in PASP and diagnosed pulmonary arterial hypertension without evidence of coronary artery disease. This case suggests that an acute elevation in pulmonary artery pressure with RV dilation may be a potential cause of acute ST elevation during stress testing.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Chest Pain
/
Coronary Disease
/
Echocardiography, Stress
/
Electrocardiography
/
Hypertension, Pulmonary
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Cardiovasc Ultrasound
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
/
DIAGNOSTICO POR IMAGEM
Year:
2011
Document type:
Article
Affiliation country:
United States
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM