Exercise-induced S-T segment elevation in variant angina.

S Gottlieb; D Tzivoni; A Keren; J Benhorin; S Stern

doi:10.1159/000173564

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Exercise-induced S-T segment elevation in variant angina.

S Gottlieb·D Tzivoni·A Keren·J Benhorin·S Stern

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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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Angina Pectoris, Variant Coronary Vasospasm Diagnosis, Differential Electrocardiography Exercise Test Humans Isosorbide Dinitrate Male Middle Aged Nifedipine Physical Exertion Case Reports Journal Article

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S Gottlieb, D Tzivoni, A Keren, J Benhorin, S Stern. 1983. Exercise-induced S-T segment elevation in variant angina.. https://doi.org/10.1159/000173564

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