Acute ST Segment Elevation During Exercise Stress Echocardiography Due to Severe Pulmonary Hypertension
Author Information
Author(s): Nguyen Tung H, Clavijo Leonardo C, Naqvi Tasneem Z
Primary Institution: USC University Hospital, Cardiovascular and Thoracic Institute, and LAC+USC Medical Center; Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Hypothesis
Can acute elevation in pulmonary artery pressure cause ST segment elevation during exercise stress testing?
Conclusion
The study suggests that acute severe rise in pulmonary artery pressure and associated right ventricular dilation may cause ST elevation during stress testing.
Supporting Evidence
- The patient developed acute ST segment elevation during exercise stress testing.
- Echocardiography revealed severe pulmonary artery systolic pressure elevation.
- Cardiac catheterization confirmed pulmonary arterial hypertension without coronary artery disease.
Takeaway
A woman had a heart test that showed a problem with her lungs instead of her heart, which is unusual. This means that sometimes lung issues can look like heart problems during tests.
Methodology
The patient underwent an exercise stress echocardiogram and cardiac catheterization to evaluate heart and lung function.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
51-year-old female, ex-smoker, with a history of hypertension, hepatitis C, and HIV.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website