Reversible ischemic neurological deficit (RIND) due to exercise testing for the diagnosis of angina pectoris.
| Title: | Reversible ischemic neurological deficit (RIND) due to exercise testing for the diagnosis of angina pectoris. |
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| Authors: | Nanke T; Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.; Matsumoto N; Wakimoto H; Nakazawa K; Miyake F; Watanabe H; Horiuchi M; Takahashi Y |
| Source: | Japanese heart journal [Jpn Heart J] 2003 Jul; Vol. 44 (4), pp. 575-81. |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Japanese Heart Journal Association Country of Publication: Japan NLM ID: 0401175 Publication Model: Print Cited Medium: Print ISSN: 0021-4868 (Print) Linking ISSN: 00214868 NLM ISO Abbreviation: Jpn Heart J Subsets: MEDLINE |
| Imprint Name(s): | Publication: Tokyo : Japanese Heart Journal Association; Original Publication: Tokyo, The Second Dept. of Internal Medicine, Faculty of Medicine, Univ. of Tokyo. |
| MeSH Terms: | Angina Pectoris/*diagnosis ; Brain Ischemia/*diagnosis ; Carotid Stenosis/*diagnosis ; Exercise Test/*adverse effects; Brain Ischemia/etiology ; Carotid Artery, Internal/pathology ; Carotid Stenosis/etiology ; Diffusion Magnetic Resonance Imaging ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed |
| Abstract: | A 57 year old Japanese male with chest oppression due to exercise is presented. This symptom was likely due to effort angina pectoris. Master's double two-step test revealed ischemic ST segment depression on the electrocardiogram, thus, a Tl201 myocardial stress imaging test using a bicycle ergometer was undertaken. Immediately following the exercise test, the patient experienced dizziness and palsy in his left upper and lower limbs. Cerebral angiography demonstrated 70% stenosis at the right internal carotid artery, but no abnormal findings were demonstrated on a cranial x-ray CT scan and magnetic resonance imaging. His palsy in the left limbs completely recovered within 3 weeks. Thus this event was diagnosed as a reversible ischemic neurological deficit (RIND). Major but non-cardiogenic complications during exercise testing are very rare, and RIND has not been reported thus far to the best of our knowledge. |
| Entry Date(s): | Date Created: 20030809 Date Completed: 20030826 Latest Revision: 20190827 |
| Update Code: | 20260130 |
| DOI: | 10.1536/jhj.44.575 |
| PMID: | 12906039 |
| Database: | MEDLINE |
Case Reports; Journal Article