Exertional angina pectoris associated with post-exercise ST segment elevation and nearly normal coronary arteries1

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The authors describe a patient with effort-induced angina pectoris and nearly normal coronary arteries who had ST segment elevation after stress ECG in the postexercise recovery period. The patient experienced angina only during exercise. Exercise-induced ST segment elevation, although uncommon, may be secondary to a variety of causes. Selective coronary angiography is often indicated for the diagnosis and appropriate management of the patient.



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