A 53-year-old man with chest pain was referred to undergo an exercise treadmill test (ETT). He reported substernal chest pain, lasting less than 5 minutes, which sometimes occurred if he ran more than 2 miles. He had no other symptoms.
The patient's medical history included hypertension (controlled with lisinopril and hydrochlorothiazide), a low-density lipoprotein level of 155 mg/dL, and a high-density lipoprotein level of 44 mg/dL. He did not smoke or have family history of premature coronary artery disease (CAD). The patient’s physical examination results were unremarkable, blood pressure was 134/80 mm Hg, body mass index was 26 (calculated as weight in kilograms divided by height in meters squared), and resting electrocardiogram (ECG) results were normal.
Polonsky TS, Blankstein R. Exercise Treadmill Testing. JAMA. 2015;314(18):1968-1969. doi:10.1001/jama.2015.11719