Severe Triple Vessel Disease Presenting As a Negative Electrocardiogram Stress Test: Temptations and Pitfalls in the Management of HIV-Associated Cardiometabolic Disease
Johnathan Kirupakaran1*, Andrew V. Doodnauth2 and Zohra R. Malik3
Progress in Medical Sciences. 2021;
A 61-year-old male with human immunodeficiency virus was admitted for non-ST elevation myocardial
infarction. He reported a three-year history of stable angina and was previously evaluated one year prior with an
electrocardiogram exercise stress test, during which he was able to reach greater than 10 metabolic equivalents.
Coronary angiography one year after this benign stress test revealed severe triple vessel disease. Here we describe
unique considerations for the diagnosis of ischemic heart disease in patients with HIV-associated cardiometabolic