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      Exercise-Induced S-T Segment Elevation in Variant Angina

      , , , ,

      Cardiology

      S. Karger AG

      Variant angina, Exercise test, S-T elevation

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          Abstract

          3 patients with co-existing effort angina and Prinzmetal’s variant angina are described, who had also ‘atypical’ manifestations of variant angina, i.e. chest pain and S-T segment elevation also during treadmill exercise testing. Because of these unusual manifestations the proper diagnosis was delayed and the patients continued with inappropriate therapy (propranolol and only low-dose nitrates). After the correct diagnosis of variant angina with ‘atypical’ manifestations was made, application of high-dose nitrates and nifedipine resulted in complete relief of symptoms. Repeat treadmill testing during this therapy did not provoke attacks of chest pain with S-T elevation.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1983
          1983
          07 November 2008
          : 70
          : 1
          : 15-23
          Affiliations
          Heiden Department of Cardiology, Bikur Cholim Hospital and Hebrew University-Hadassah Medical School, Jerusalem, Israel
          Article
          173564 Cardiology 1983;70:15–23
          10.1159/000173564
          6850682
          © 1983 S. Karger AG, Basel

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          Page count
          Pages: 9
          Categories
          Original Paper

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