1. Pulmonary embolism presenting as exercise-induced hypotension.
- Author
-
Sigal SL, Kolansky DM, Hughes S, Cabin HS, and Batsford WP
- Subjects
- Aged, Humans, Male, Pulmonary Artery diagnostic imaging, Pulmonary Embolism complications, Pulmonary Embolism diagnostic imaging, Radiography, Exercise Test, Hypotension etiology, Pulmonary Embolism diagnosis
- Abstract
A 68-year-old man with remote history of previous myocardial infarction presented with a four-week history of intermittent dyspnea. After developing hypotension during an exercise tolerance test, he underwent cardiac catheterization, revealing significant pulmonary hypertension and two-vessel coronary artery disease. Pulmonary angiography confirmed the presence of pulmonary emboli which partially resolved after thrombolytic therapy. Subsequent treadmill testing confirmed the absence of exercise-induced hypotension two months following treatment. This case underscores the importance of considering pulmonary embolism as a potential cause of exercise-induced hypotension, since it can be successfully treated with thrombolytic agents weeks after the initial onset of symptoms.
- Published
- 1991
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