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Angiology
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Acute Myocardial Infarction Shortly After a Normal Exercise Stress Test

Case Reports

Aldo Capezzuto, M.D.

Division of Cardiology and Coronary Care Unit, Belcolle Hospital, Viterbo, Italy

Augusto Achilli, M.D.

Division of Cardiology and Coronary Care Unit, Belcolle Hospital, Viterbo, Italy

Daniele Pontillo, M.D., F.A.C.A.

Division of Cardiology and Coronary Care Unit, Belcolle Hospital, Viterbo, Italy

Massimo Sassara, M.D.

Division of Cardiology and Coronary Care Unit, Belcolle Hospital, Viterbo, Italy

Stefano De Spirito, M.D.

Division of Cardiology and Coronary Care Unit, Belcolle Hospital, Viterbo, Italy

Roberto Guerra, M.D.

Division of Cardiology and Coronary Care Unit, Belcolle Hospital, Viterbo, Italy

The authors describe 3 cases of AMI occurring shortly after a negative bicycle ergometer stress test. These cases represent an unfortunate but extremely rare complication of a relatively safe diagnostic procedure.

The authors also focus on the pathogenesis of the ischemic event, which may be attributed either to intraplaque hemorrhage or to platelet aggregation, both exercise- induced. The prevalence of AMI in this paper (0.06%) is similar to the data described in literature.

Angiology, Vol. 46, No. 6, 521-526 (1995)
DOI: 10.1177/000331979504600610
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