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Alternatively, coronary spasm may have been the primary event, inducing sufficient myocardial ischaemia to cause a marked drop in blood pressure. Exercise tolerance testing is often a reliable test to rule out reversible myocardial ischaemia. While the physician is focused on ischaemic changes or rhythm abnormalities developing during the exercise phase, the recovery period is just as important and requires as much vigilance. Coronary vasospasm can result in significant ST changes and haemodynamic compromise at any point during the test, and the ECG traces can be indistinguishable from a classic ST elevation myocardial infarction, as in the present case.<\/jats:p>","DOI":"10.1136\/bcr-2019-229766","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T06:11:08Z","timestamp":1562652668000},"page":"e229766","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["ST elevation in recovery post exercise with normal coronary arteries"],"prefix":"10.1136","volume":"12","author":[{"given":"Reza","family":"Aghamohammadzadeh","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Sciences, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhaib Magdi","family":"El-Omar","sequence":"additional","affiliation":[{"name":"Faculty of Biology, Medicine and 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