Death from myocardial infarction after exercise test with normal result
A. B. Lintgen
Death from acute myocardial infarction immediately followed a submaximal
exercise test with a normal result in a 56-year-old man. Hemorrhage into an
intimal atherosclerotic plaque with superimposed, intraluminal clot
formation was the cause of coronary artery occlusion. It is probable that
the exercise precipitated an intramural capillary rupture and intimal
hemorrhage or caused further hemorrhage into a preexisting intimal
hematoma. The resulting luminal narrowing and intimal rupture with
superimposed clot formation caused coronary artery occlusion.
