Acute ST segment elevation during exercise stress echocardiography due to severe pulmonary hypertensionReport as inadecuate




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Cardiovascular Ultrasound

, 9:18

First Online: 06 June 2011Received: 21 February 2011Accepted: 06 June 2011

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.

Electronic supplementary materialThe online version of this article doi:10.1186-1476-7120-9-18 contains supplementary material, which is available to authorized users.

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Author: Tung H Nguyen - Leonardo C Clavijo - Tasneem Z Naqvi

Source: https://link.springer.com/article/10.1186/1476-7120-9-18







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