Exercise-induced hypotension as a manifestation of right ventricular ischemia
1988; Elsevier BV; Volume: 115; Issue: 1 Linguagem: Inglês
10.1016/0002-8703(88)90538-8
ISSN1097-6744
AutoresMichael W. Rich, Andrew J. Keller, Lalith Chouhan, Keith Fischer,
Tópico(s)Venous Thromboembolism Diagnosis and Management
ResumoA 68-year-old man with remote history of previous myocardial infarction presented with a four-week history of intermittent dyspnea. After developing hypotension during an exercise tolerance test, he underwent cardiac catheterization, revealing significant pulmonary hypertension and two-vessel coronary artery disease. Pulmonary angiography confirmed the presence of pulmonary emboli which partially resolved after thrombolytic therapy. Subsequent treadmill testing confirmed the absence of exercise-induced hypotension two months following treatment. This case underscores the importance of considering pulmonary embolism as a potential cause of exercise-induced hypotension, since it can be successfully treated with thrombolytic agents weeks after the initial onset of symptoms.
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