caa a22 4500 445824581 CHVBK 20180317145255.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00246-011-0052-3 doi (NATIONALLICENCE)springer-10.1007/s00246-011-0052-3 Exercise-Induced Intraventricular Obstruction in a Child with Near Syncope and Chest Pain During Exercise [Elektronische Daten] [Artur Lopes, Carlos Cotrim, José Martins, Fátima Pinto] We report the case of a 10-year-old girl with two episodes of light-headedness and chest pain during exercise. She had an unremarkable clinical record, physical examination, ECG, and echocardiogram. Noninvasive ischemia tests were positive, but coronary angiography was normal. Exercise stress echocardiogram revealed an exercise-induced intra-left-ventricular obstruction with a peak gradient of 78mmHg and replicated her symptoms. After starting beta-blocker therapy her clinical status improved and no residual obstruction was detected. The authors review this unsuspected clinical condition, seldom reported in the adult population and, to our knowledge, never before in a child. Springer Science+Business Media, LLC, 2011 Intraventricular pressure gradients nationallicence Stress echocardiography nationallicence Syncope nationallicence Lopes Artur Cardiology Department, Hospital Divino Espírito Santo, Rua Grotinha, 9500-370, Ponta Delgada, Portugal aut Cotrim Carlos Cardiology Department, Hospital Garcia de Orta, Almada, Portugal aut Martins José Pediatric Cardiology Department, Hospital de Santa Marta, Lisbon, Portugal aut Pinto Fátima Pediatric Cardiology Department, Hospital de Santa Marta, Lisbon, Portugal aut Pediatric Cardiology Springer-Verlag 32/7(2011-10-01), 1032-1035 0172-0643 32:7<1032 2011 32 246 https://doi.org/10.1007/s00246-011-0052-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-0052-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lopes Artur Cardiology Department, Hospital Divino Espírito Santo, Rua Grotinha, 9500-370, Ponta Delgada, Portugal aut NATIONALLICENCE 700 1- Cotrim Carlos Cardiology Department, Hospital Garcia de Orta, Almada, Portugal aut NATIONALLICENCE 700 1- Martins José Pediatric Cardiology Department, Hospital de Santa Marta, Lisbon, Portugal aut NATIONALLICENCE 700 1- Pinto Fátima Pediatric Cardiology Department, Hospital de Santa Marta, Lisbon, Portugal aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/7(2011-10-01), 1032-1035 0172-0643 32:7<1032 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer