A 53-year-old man with exertional chest pain underwent an exercise treadmill test without experiencing chest pain during the procedure.
A53-year-oldmanwithchestpainwas referred toundergoanexercise treadmill test (ETT). He reported substernal chest pain, lasting less than 5minutes, which sometimes occurred if he ranmore than 2miles. He had no other symptoms. The patient's medical history included hypertension (controlled with lisinopril and hydrochlorothiazide), a low-density lipoprotein level of 155mg/dL, andahigh-density lipoprotein level of44mg/dL.Hedidnot smokeorhave familyhistoryofprematurecoronaryarterydisease(CAD).Thepatient’sphysicalexaminationresultswereunremarkable,bloodpressurewas 134/80mmHg, bodymass indexwas 26 (calculated asweight in kilogramsdivided byheight inmeters squared), and resting electrocardiogram (ECG) resultswere normal. The patient had no chest pain during ETT. Results are reported in the Table.
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Polonsky et al. (2015) studied this question.
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