Cardiology - Case Reports
Vol. 90 No. 2 (2020)
https://doi.org/10.4081/monaldi.2020.1271

ST-elevation during head up tilt test: a challenging case in syncope unit

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 15 March 2020
Published: 20 May 2020
1577
Views
843
Downloads
Head up tilt test, ST-elevation, electrocardiogram, vasovagal syncope, nitrates

Authors

Andreina Carbone
andr.carbone@gmail.com
https://orcid.org/0000-0002-2190-7010
Syncope Unit, Department of Medical Translational Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
Vincenzo Avitabile
Syncope Unit, Department of Medical Translational Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
Paolo Golino
Syncope Unit, Department of Medical Translational Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
Gerardo Nigro
https://orcid.org/0000-0003-1776-8449
Syncope Unit, Department of Medical Translational Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.
Vincenzo Russo
Syncope Unit, Department of Medical Translational Sciences, University of Campania “L. Vanvitelli”, Monaldi Hospital, Naples, Italy.

A 65-year-old woman, during an elective head up tilt test, after the sublingual nitrate administration, experienced electrocardiogram alteration with ST elevation in the inferior leads, that returned normal when the patient was laid supine after few minutes. Serial cardiac markers were not elevated and coronary angiography revealed normal epicardial coronary arteries. Paradoxical vasospastic response to nitrates in vasospastic angina patients represents a rare but very challenging condition and the best therapeutic approach in this subgroup of patients remains unclear.

 

Downloads

Download data is not yet available.

How to Cite



“ST-Elevation During Head up Tilt Test: A Challenging Case in Syncope Unit”. 2020. Monaldi Archives for Chest Disease 90 (2). https://doi.org/10.4081/monaldi.2020.1271.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.