False-positive electrocardiographic changes during exercise test in a patient with pectus excavatum.
Andrea SonaglioniGian Luigi NicolosiMichele LombardoClaudio AnzàGiuseppe AmbrosioPublished in: Journal of clinical ultrasound : JCU (2020)
Exercise-induced ST-segment changes simulating myocardial ischemia have been described in otherwise normal subjects during hyperventilation. We present the case of a 60-year-old man with pectus excavatum showing significant exercise-induced "pseudo-ischaemic" ST-segment changes with neither coronary artery disease nor anxiety-induced hyperventilation. We found no report of the possible causative role of a narrow antero-posterior chest diameter in inducing "pseudo-ischaemic" ST-segment changes during exercise stress test in the literature.
Keyphrases
- coronary artery disease
- high intensity
- left ventricular
- physical activity
- systematic review
- resistance training
- high glucose
- percutaneous coronary intervention
- case report
- cardiovascular events
- type diabetes
- cardiovascular disease
- drug induced
- left atrial
- sleep quality
- depressive symptoms
- optic nerve
- mitral valve
- ejection fraction