TRANSITORY ST SEGMENT ELEVATION DURING THE EXERCISE STRESS TEST

Milovan Stojanovic; Marina Deljanin-Ilic; Bojan Ilic; Stevan Ilic; Dragan Dordevic; Dejan Petrovic; Aleksandar Nikolic

Volume : VII, Issue : I, January - 2018

TRANSITORY ST SEGMENT ELEVATION DURING THE EXERCISE STRESS TEST

Milovan Stojanovic, Marina Deljanin Ilic, Bojan Ilic, Stevan Ilic, Dragan Dordevic, Dejan Petrovic, Aleksandar Nikolic

Abstract :

Cardiovascular diseases (CVD) are the most common cause of death in the world. Coronary artery disease is the most common disease that leads to lethal outcome in Sebia and in the world. Exercise stress test is the most frequently used non-invasive method for diagnosing coronary artery disease. Patients Lj.M. born in 1955. had preformed exercise stress test in 2014. The test was defined as positive and coronarography was suggested. But the patient felt well until 2016, which was the reason why he did not go to regular cardiology examinations. In April 2016, he was admitted at Emergency room of the Institute for treatment an rehabilitation Niska Banja due to repeated chest pains that disappeared spontaneously after a few minutes. Again, an exercise stress test was suggested. On exercise test the patient felt pain in the mediastinum, while the electrocardiogram registered the occurrence of ST segment elevation in all precordial leads, along with transitory short-term ventricular tachycardia, which was the reason why the test was interrupted. An urgent coronary angiography was suggested. On coronarography two-vessel coronary disease was reported: LAD in the medial segment suboccluded, OM1 80 % narrowed. On this occasion, a percutaneous intervention with the implantation of a single stent in the LAD was performed. After three months a second PCI with implantation of one stent in OM1 was performed. After intervention patient is feeling good, withouth chest pain. The reason why in 2014 during exercise stress test our patient had a ST segment depression on electrocardiogram and in 2016 ST elevation is probably due to the degree of lesion stenosis that led to ischemic changes. Patient did not come to the regular controls and stenosis advanced during this two-year period.