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Research Article Open access CC BY 4.0

Case Report: When Exercise Went Wrong

Heng Shee Kim

Cardiology and Angiology: An International Journal · pp. 5–8 · Published 7 Jan 2020

10.9734/ca/2020/v9i130124

Abstract

Background: Exercise stress test (EST) is recommended as the first-line investigation in major guidelines. It believed as a safe procedure. However, there is unignorable complications include hospitalisation, acute myocardial infarction and sudden cardiac death. Case Presentation: We describe a case of a 56-year-old male who underwent exercise stress test and complicated with hemodynamically unstable ventricular tachycardia. He was resuscitated and diagnosed with acute anterior ST-elevation myocardial infarction. Subsequent coronary angiogram showed severe two vessels disease. Conclusion: This illustrates the importance to identify a cohort of high-risk patient pre-EST, along with proper supervision and well-staffed exercise stress test lab in order to provide appropriate lifesaving treatment.

Exercise stress test ventricular tachycardia myocardial infarction complication during exercise stress test.

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