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[Negative result of exercise testing in patient with severe coronary artery disease]

M I Chushkin1, S Yu Mandrykin1, V M Janus1

  • 1Multidisciplinary Medical Center of the Central Bank of Russian Federation, Moscow.

Kardiologiia
|May 8, 2020
PubMed

Insights

An electrocardiogram (ECG) stress test can detect coronary artery disease. This article discusses a case where a patient with severe, multivessel coronary disease had a negative stress test result, challenging typical expectations.

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Obstructive coronary atherosclerosis is a significant cause of cardiovascular events.
  • ST segment depression during ECG stress testing often correlates with the severity of coronary artery lesions.

Purpose of the Study:

  • To describe a case of a negative ECG stress test result in a patient with established multivessel coronary artery disease.
  • To highlight potential discrepancies between stress test findings and anatomical disease burden.

Main Methods:

  • Review of a clinical case involving an ECG stress test.
  • Correlation of stress test results with coronary angiography findings (implied).

Main Results:

  • The patient presented with multivessel coronary artery disease.
  • Despite significant coronary atherosclerosis, the ECG stress test yielded a negative result, showing no significant ST segment depression.

Conclusions:

  • A negative ECG stress test does not always exclude significant obstructive coronary atherosclerosis, particularly in multivessel disease.
  • Clinical correlation and consideration of alternative diagnostic methods are crucial when stress test results appear discordant with patient presentation.

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