Chest pain caused by myocardial ischemia or not: sometimes the old handgrip test can solve the dilemma.


We describe the case of a patient with typical chest pain but negative maximal bicycle exercise-electrocardiogram test and for whom significant coronary artery disease was hypothesized by a positive handgrip exercise test and demonstrated by coronary angiography. Despite negative exercise stress test, handgrip as well as other provocative tests have to be… (More)
DOI: 10.1016/j.cjca.2011.12.007


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