rss
BMJ Case Reports 2013; doi:10.1136/bcr-2012-007536
  • Images in…

Ventricular ectopy after exercise and occult ischaemia in a patient with multiple risk factors for ischaemic heart disease and defective anginal warning system

  1. Pietro Sedati2
  1. 1Department of Nuclear Cardiology, Università Campus Bio-Medico, Rome, Italy
  2. 2Department of Radiology, Università Campus Bio-Medico, Roma, Italy
  1. Correspondence to Professor Gian Piero Carboni, g.carboni{at}unicampus.it

Description

In May 2012, a 73-year-old man presented with effort dyspnoea and chest discomfort, negative exercise test for ST depression and ventricular ectopy after exercise. He had a history of Sjögren's syndrome, diabetes, dyslipidemia, hypertension, chronic obstructive pulmonary disease and was under methotrexate treatment for rheumatoid arthritis. Such diseases imply a severe dysfunctional burden, tend to develop accelerated atherosclerosis, endothelial dysfunction and ischaemic heart disease (IHD).1 ,2 A functional assessment was thus provided with an exercise/rest technetium-99 m tetrofosmin-gated …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article