Acute ST segment elevation during exercise stress echocardiography due to severe pulmonary hypertension

Tung H. Nguyen, Leonardo C. Clavijo, Tasneem Z. Naqvi

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A 51-year-old female undergoing an outpatient stress echocardiogram to evaluate atypical chest pain developed acute ST elevation in the anterior precordial leads on electrocardiogram following exercise. Echocardiography revealed a severe rise in pulmonary artery systolic pressure (PASP) with marked right ventricular (RV) enlargement and interventricular septum flattening. Subsequently, cardiac catherization confirmed an exercise-induced elevation in PASP and diagnosed pulmonary arterial hypertension without evidence of coronary artery disease. This case suggests that an acute elevation in pulmonary artery pressure with RV dilation may be a potential cause of acute ST elevation during stress testing.

Original languageEnglish (US)
Article number18
JournalCardiovascular ultrasound
Volume9
Issue number1
DOIs
StatePublished - 2011

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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