<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202024000101704</article-id>
<article-id pub-id-type="doi">10.29277/cardio.39.1.14</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Injuria miocárdica transitoria inducida por el esfuerzo ergométrico en un paciente evaluado en la Unidad de Dolor Torácico]]></article-title>
<article-title xml:lang="en"><![CDATA[Transient myocardial injury induced by exercise stress testing in a patient evaluated in the Chest Pain Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Lesão miocárdica transitória induzida pelo esforço ergométrico em um paciente avaliado na Unidade de Dor Torácica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Melisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrando]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Murguía]]></surname>
<given-names><![CDATA[Soledad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acquistapace]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marichal]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Centro Cardiovascular Universitario, Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202024000101704&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202024000101704&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202024000101704&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La prueba ergométrica graduada es una técnica de bajo costo que se utiliza desde hace décadas en la evaluación diagnóstica y pronóstica de la enfermedad arterial coronaria. Los signos de isquemia subepicárdica e injuria transmural inducidos por el esfuerzo, en pacientes sin historia de infarto son hallazgos que suelen indicar una enfermedad arterial coronaria significativa. Se presenta el caso de un hombre de 61 años con historia de ángor progresivo, quien durante la realización de una prueba ergométrica graduada en protocolo de Unidad de Dolor Torácico evidenció un aumento súbito del voltaje de la onda T y supradesnivel del segmento ST en las derivaciones precordiales V2 a V4. La angiografía coronaria reveló estenosis crítica de la arteria descendente anterior que requirió intervencionismo percutáneo con implante de un stent liberador de everolimus. A propósito del caso, se revisa la literatura disponible acerca de estos hallazgos inusuales en la prueba de esfuerzo, se discute su significancia diagnóstica y sus implicancias pronósticas en pacientes evaluados en la Unidad de Dolor Torácico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: The graded exercise test is a low-cost technique that has been used for decades in the diagnostic and prognostic evaluation of coronary artery disease. Signs of subepicardial ischemia and transmural injury induced by exercise, in patients without a history of myocardial infarction, are findings that often indicate significant coronary artery disease. We present the case of a 61-year-old man with a history of progressive angina who, during a graded exercise test performed under a Chest Pain Unit protocol, exhibited a sudden increase in T-wave voltage and ST-segment elevation in precordial leads V2 to V4. Coronary angiography revealed critical stenosis of the left anterior descending artery, requiring percutaneous intervention with the implantation of an everolimus-eluting stent. Based on this case, we review the available literature on these unusual findings during exercise testing, discussing their diagnostic significance and prognostic implications in patients evaluated in the Chest Pain Unit.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O teste ergométrico graduado é uma técnica de baixo custo que vem sendo utilizada há décadas na avaliação diagnóstica e prognóstica da doença arterial coronariana. Os sinais de isquemia subepicárdica e lesão transmural induzidos pelo esforço, em pacientes sem histórico de infarto do miocárdio, são achados que frequentemente indicam uma doença arterial coronariana significativa. Apresentamos o caso de um homem de 61 anos com história de angina progressiva que, durante a realização de um teste ergométrico graduado sob protocolo da Unidade de Dor Torácica, apresentou aumento súbito na voltagem da onda T e elevação do segmento ST nas derivações precordiais V2 a V4. A angiografia coronariana revelou estenose crítica da artéria descendente anterior, exigindo intervenção percutânea com implante de stent farmacológico liberador de everolimus. A partir deste caso, revisamos a literatura disponível sobre esses achados incomuns durante o teste ergométrico, discutimos seu significado diagnóstico e suas implicações prognósticas em pacientes avaliados na Unidade de Dor Torácica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[PRUEBA DE ESFUERZO]]></kwd>
<kwd lng="es"><![CDATA[ISQUEMIA TRANSMURAL]]></kwd>
<kwd lng="es"><![CDATA[ELECTROCARDIOGRAFÍA]]></kwd>
<kwd lng="en"><![CDATA[EXERCISE TEST]]></kwd>
<kwd lng="en"><![CDATA[TRANSMURAL ISCHEMIA]]></kwd>
<kwd lng="en"><![CDATA[ELECTROCARDIOGRAPHY]]></kwd>
<kwd lng="pt"><![CDATA[PROVA DE ESFORÇO]]></kwd>
<kwd lng="pt"><![CDATA[ISQUEMIA TRANSMURAL]]></kwd>
<kwd lng="pt"><![CDATA[ELETROCARDIOGRAMA]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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