From:  Two cases of exercise-related arrhythmia: hemodynamic correlates and short-term response to bisoprolol

 Timeline of clinical events in Case 2.

Date/TimeEventDetails/FindingsManagement/Outcome
14 years ago—palpitation perceivedVisit to another clinicPVCs recorded in the ECGAdministration of propranolol, discontinued due to fatigue
Day 0—palpitation perceivedVisit to our clinicNo PVCs recorded in the ECGOrdering an exercise test
Day 28—palpitation continued First EST attemptedPVCs recorded immediately after ESTBisoprolol administered
Day 42—palpitation disappearedSecond EST attemptedPVCs not induced by ESTBisoprolol continued
Day 70—no palpitation perceivedMonthly visit to our clinicNo PVCs recorded in the ECGBisoprolol continued

ECG: electrocardiogram; EST: ergometric stress test; PVCs: premature ventricular contractions.