Key result
A female patient with atypical chest pain developed 1-mm horizontal ST depressions during an exercise treadmill test, prompting discussion on subsequent noninvasive imaging.
Why the study?
How should a patient with an inconclusive exercise treadmill test and atypical chest pain be managed regarding further noninvasive imaging?
Case Report (n=1)
How should a patient with an inconclusive exercise treadmill test and atypical chest pain be managed regarding further noninvasive imaging?
This clinical vignette highlights the diagnostic dilemma of selecting the appropriate subsequent noninvasive imaging modality for a patient with an inconclusive exercise treadmill test.
Case highlights diagnostic uncertainty after inconclusive ETT in atypical chest pain; leaves open optimal noninvasive imaging choice.
emia was referred for an exercise treadmill test to evaluate atypical chest pain. She exercised for 5 minutes 30 seconds (7 metabolic equivalents) on a standard Bruce protocol and stopped because of fatigue. Her heart rate increased from 82 to 148 bpm (90 % of maximal predicted heart rate), and her blood pressure in-creased from 136/82 to 165/80 mm Hg. During the test, she developed 1-mm horizontal ST depressions in the in-ferolateral leads that resolved by 30 seconds into recovery. How should this patient be managed?
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Blankstein et al. (2010) conducted a case report in Atypical chest pain (n=1). Exercise treadmill test was evaluated. A female patient with atypical chest pain developed 1-mm horizontal ST depressions during an exercise treadmill test, prompting discussion on subsequent noninvasive imaging.
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