A 48-year-old hypertense male smoker, with a 1-year history of unstable angina, required implantation of 2 drug-eluting stents in the left main coronary artery and the left anterior descending artery. He attended the clinic for a follow-up exercise test. The test was discontinued during stage 2 of the Bruce protocol, on reaching 7 metabolic equivalents, because of atypical chest pain. The electrocardiogram at the time of discontinuation is shown in the Figure.
What is the correct diagnosis and appropriate approach?
- a)
Negative exercise test; clinical follow-up required
- b)
Exercise test not evaluable; stress echocardiography should be performed
- c)
Positive exercise test; medical treatment should be adjusted
- d)
Positive exercise test; coronary angiography should be performed
Suggest a diagnosis to this ECG Contest at: http://www.revespcardiol.orges/electroreto/70/12. The answer will be published in the next issue (January 2018). #EKGchallenge.