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Medicine Acute coronary syndrome 962968d2

All of the following findings during an exercise tolerance test is associated with left coronary aery disease except ?

A
Early onset of ST depression
B
Persistence of ST segment changes late into recovery phase
C
Failure to increase systolic BP by at least 20mm Hg
D
ST segment elevation in aVR
High-Yield Explanation
An Exercise Tolerance Test (ETT) is an Electrocardiogram (ECG) that is recorded while patient is exercising. A failure to increase SBP by 10 mm Hg, or a sustained decrease in SBP of 10 mm Hg or more, is suggestive of multivessel (or left main) CAD. Findings suggesting high probability of coronary aery disease: Horizontal ST segment depression of 2 mm Down sloping ST segment depression Persistence of ST depression for > 6 minutes into recovery ST segment depression in five or more leads persisting >=5 minutes into recovery. ST-segment elevation of >=1 mm in lead aVR may be a significant predictor of left main coronary aery disease.

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