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Ischaemia : Case 2

Patient Description

Patient with recurrent episodes of atypical chest pain and no baseline ECG abnormalities.


 

Treadmill ECG

Treadmill-ECG performed: Exercise capacity 9.7 METS, 88% age-predicted max HR, with normal ECG but atypical chest pain: Stress echo is requested

Stress Echocardiogram

Contrast Echo Box : Atlas

 

In this case, stress echo itself was key to the diagnosis (and possibly life-saving) which was missed by treadmill-ECG, while perfusion imaging, as often in cases of very severe / subocclusive proximal stenosis, did not add to wall motion information