Acute Anteroseptal Myocardial Infarction after a Negative Exercise Stress Test

Abdullah M. Al-Alawi, Jyotsna Janardan, Kah Y. Peck, Alan Soward

Abstract


A myocardial infarction is a rare complication which can occur after an exercise stress test. We report a 48-year-old male who was referred to the Mildura Cardiology Practice, Victoria, Australia, in August 2014 with left-sided chest pain. He underwent an exercise stress test which was negative for myocardial ischaemia. However, the patient presented to the Emergency Department of the Mildura Base Hospital 30 minutes after the test with severe retrosternal chest pain. An acute anteroseptal ST segment elevation myocardial infarction was observed on electrocardiography. After thrombolysis, he was transferred to a tertiary hospital where coronary angiography subsequently revealed significant left anterior descending coronary artery stenosis. Thrombus aspiration and a balloon angioplasty were performed. The patient was discharged three days after the surgical procedure in good health.



Keywords


Myocardial Infarction; Exercise Test; Physical Exertion; Coronary Artery Disease; Atherosclerotic Plaques; Case Report; Australia

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DOI: http://dx.doi.org/10.18295/squmj.2016.16.02.017

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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