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Progress in Medical Sciences ISSN: 2577 - 2996
Progress in Medical Sciences. 2021; 5(1):(55-85)


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

Abstract
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 disease.