Treadmill Stress Test in a 56-Year-Old Man

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Several findings on an exercise electrocardiogram predicted left main and/or 3-vessel coronary arterial disease, which was confirmed by coronary arteriography, and the 56-year-old man underwent a multivessel coronary arterial bypass operation the following day.

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Case Report

Six weeks earlier, this hypertensive and morbidly obese 56-year-old man developed chest pain while walking up a hill. His primary care physician scheduled a stress test. His supine standard ECG was normal (Figure 1), and his standing modified ECG showed mild ST-segment depression in lead V6 and the inferior leads. After 2 minutes and 30 seconds of exercise, the patient had mild chest pain; his blood pressure was 210/68 mm Hg, and the test was stopped. At peak exercise and early recovery marked,

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