Case Report: When Exercise Went Wrong

Main Article Content

Heng Shee Kim


Background: Exercise stress test (EST) is recommended as the first-line investigation in major guidelines. It believed as a safe procedure. However, there is unignorable complications include hospitalisation, acute myocardial infarction and sudden cardiac death.

Case Presentation: We describe a case of a 56-year-old male who underwent exercise stress test and complicated with hemodynamically unstable ventricular tachycardia. He was resuscitated and diagnosed with acute anterior ST-elevation myocardial infarction. Subsequent coronary angiogram showed severe two vessels disease.

Conclusion: This illustrates the importance to identify a cohort of high-risk patient pre-EST, along with proper supervision and well-staffed exercise stress test lab in order to provide appropriate lifesaving treatment.

Exercise stress test, ventricular tachycardia, myocardial infarction, complication during exercise stress test.

Article Details

How to Cite
Kim, H. S. (2020). Case Report: When Exercise Went Wrong. Cardiology and Angiology: An International Journal, 9(1), 5-8.
Case Study


Ministry of Health, Malaysia. Clinical Practice Guidelines of Stable Coronary Artery Disease 2nd edition; 2018.
[Accessed 4th October 2019]

Montalescot G, Sechtem U, Achenbach S, et al. ESC guidelines on the management of stable coronary artery disease: The task force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J. 2013; 34:2949-3003.

Myers J, Arena R, Franklin B, et al. Recommendations for clinical exercise laboratories: A scientific statement from the american heart association. Circulation. 2009;119:3144.

Fletcher GF, Ades PA, Kligfield P, et al. Exercise standards for testing and training: A scientific statement from the American Heart Association. Circulation. 2013;128: 873.

Al-Mallah MH, Keteyian SJ, Brawner CA, Whelton S, Blaha MJ. Rationale and design of the Henry Ford Exercise Testing Project (the FIT project). Clin Cardiol. 2014;37(8):456–461.

Marcadet DM, Pavy B, Bosser G, et al. French Society of Cardiology guidelines on exercise tests (part 1): Methods and interpretation. Arch Cardiovasc Dis. 2018,111:782-90

Thompson, PD, Franklin, BA, Balady, et al. American heart association council on nutrition, physical activity and metabolism; American Heart Association Council on Clinical Cardiology; American College of Sports Medicine. Exercise and acute cardiovascular events. Placing the risk into perspective: a scientific statement from the American Heart Association Council on Nutrition, Physical activity, and Metabolism and the Council on Clinical Cardiology. Circulation. 2007;115:2358–2368.

Braunwald E, Antman EM, Beasley JW, et al. ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients with Unstable Angina). J Am Coll Cardiol. 2000;36:970–1062.