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Chest, Vol 100, 1728-1730, Copyright © 1991 by American College of Chest Physicians

ARTICLES

Exercise-related atrioventricular block. Influence of myocardial ischemia

NL Coplan, MC Morales, P Romanello, JR Wilentz and JW Moses
Department of Medicine, Lenox Hill Hospital, New York.

A 62-year-old woman was noted to have complete heart block immediately following an exercise stress test. Coronary arteriography subsequently revealed a significant lesion in the right coronary artery, which was successfully dilated. Thallium-exercise testing following angioplasty showed no evidence of inducible ischemia and no arrhythmia was seen, supporting the idea that exercise-related heart block may occur secondary to myocardial ischemia.


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Copyright © 1991 by the American College of Chest Physicians.