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Mechanism of transient exercise induced ST segment elevation in non-Q wave lead: a scintigraphic co-relation
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A 67 year old man underwent 99mTc-sestamibi single photon emission computed tomography (SPECT) for evaluation of atypical epigastric pain. His baseline 12 lead ECG revealed anterior ST elevation (1.5 mm) at rest without Q waves. During exercise SPECT imaging the patient developed ST segment elevation over leads V2—V4 (7 …