case_images: PMC11254699_01
case_images: Exercise tolerance test electrocardiogram (ECG). Panel (A) shows baseline ECG before initiation of the stress test. Panel (B) shows significant ST segment elevations in inferior leads with reciprocal ST depressions in leads I, aVL and V1-2 shortly after inception of exercise.
case_images: fcvm-11-1416149-g001.jpg
case_images: PMC11254699_01_fcvm-11-1416149-g001.jpg
case_images: F1
case_images: Within 15-30 s of the initiation of exercise, the patient started to notice phantom odor perception which was not observed by the staff standing around the patient; this was immediately followed by ECG changes of significant ST elevations in the inferior leads with reciprocal changes in leads I, aVL and V1-2 (Figure 1), associated with chest discomfort and shortness of breath. Echocardiography images were obtained immediately showing new left ventricular regional wall motion abnormalities that were concordant with the electrocardiographic changes (Figure 2, Supplementary Video S1).
case_images: Regional wall motion abnormalities with severe hypokinesis of the basal infero-septal, basal, and mid inferior and infero-lateral segments seen on stress echocardiography during anginal episode (yellow arrows) (end-systolic frames shown). Panel (A) Apical 4-chamber. Panel (B) Apical 2-chamber. Panel (C) Parasternal long axis. Panel (D) Parasternal short axis. (Supplementary Videos S1, S2).
case_images: fcvm-11-1416149-g002.jpg
case_images: PMC11254699_01_fcvm-11-1416149-g002.jpg
case_images: F2
case_images: Echocardiography images were obtained immediately showing new left ventricular regional wall motion abnormalities that were concordant with the electrocardiographic changes (Figure 2, Supplementary Video S1).