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Gepubliceerd in: Netherlands Heart Journal 9/2016

Open Access 12-07-2016 | Rhythm Puzzle Question

Positive exercise test?

Auteurs: W. K. den Dekker, J. W. Deckers, S. C. Yap

Gepubliceerd in: Netherlands Heart Journal | Uitgave 9/2016

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A 46-year-old male was referred for exercise testing after he was evaluated in the emergency department because of progressive fatigue, dyspnoea on exertion and chest pain with tingling of the left arm. He was an otherwise healthy man who was a professional climber. He had no cardiovascular risk factors and was not using any medication. On physical examination he was normotensive and the cardiovascular examination was normal. His troponin level was normal. A bicycle exercise test was performed to rule out ischaemia. He exercised for 13 min and 40 sec, reaching 242 Watt (reference value 208 Watt) with a maximum heart rate of 167 beats/min (96 % of predicted maximal heart rate) and a blood pressure of 187/92 mmHg. The test was stopped because of fatigue. He had no chest pain. Two recordings of the exercise test are shown here (Fig. 1a, b).

Questions

Is this a positive test for ischaemia?
What is the prognosis?

Answer

You will find the answer elsewhere in this issue.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Metagegevens
Titel
Positive exercise test?
Auteurs
W. K. den Dekker
J. W. Deckers
S. C. Yap
Publicatiedatum
12-07-2016
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 9/2016
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-016-0863-1