Case Studies: Lessons Learned from~Interesting Cases

  • Corey H. Evans
  • H. Jack Pyhel
  • Russell D. White

In this chapter we illustrate many of the concepts discussed in earlier chapters with cases accumulated over years of experience performing exercise testing. It is hoped the cases will illustrate concepts through both electrocardiogram tracings and discussion. Jack Pyhel, a cardiologist with over 30 years’ experience doing exercise testing, also has encountered many interesting treadmill cases shared in this chapter. All of these cases, other than being interesting, have taught valuable lessons. We hope the lessons we have learned can be passed on to the reader. Some of these cases occurred more than 20 years previously and the records were not available for illustration, plus some of the tracing are older so please bear with the tracing quality. The name at the end of each case indicate the contributor.


Continuous Subcutaneous Insulin Infusion Severe Ischemia Bruce Protocol Early Repolarization Maximum Predict Heart Rate 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Corey H. Evans
    • 1
  • H. Jack Pyhel
    • 2
  • Russell D. White
    • 3
  1. 1.Private Practice Family Physician Florida Institute of Family MedicineDirector of Medical Education St. Anthony’s HospitalUSA
  2. 2.Department of Family PracticeUniversity of South Florida Medical School at Bayfront Medical Center, St. Petersburg; Heart & Vascular Institute of Florida, St. PetersburgUSA
  3. 3.Department of Community and Family MedicineUniversity of Missouri–Kansas City, Truman Medical Center Lakewood, Kansas CityUSA

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