Medical history A female patient, 60-year-old, sought care by a cardiologist requesting release for physical activity. Sedentary, asymptomatic, presented with hypercholesterolemia for 5 years, controlled with Enalapril, Hydrochlorothiazide and Simvastatin. Positive family history for coronary artery disease (CAD). Physical examination: good general condition, overweight (BMI: 25.6), BP: 140/80 mmHg, HR: 88 bpm, regular heart rate, normal heart sounds, no murmurs. Exercise testing was then required. Pre-test score for CAD - Morise = 12 (intermediate probability). Image 1: Treadmill test. Question:Based on the clinical history and the presented image (electrocardiographic tracings), what is the alteration presented by the patient and the best approach to be taken? Occasional ventricular extrasystoles, contraindicating the immediate practice of physical activities Occasional ventricular extrasystoles, and the patient can be released for physical activities Supraventricular tachycardia, contraindicating the immediate practice of physical activities Supraventricular tachycardia, and the patient can be released for physical activities Time is Up! Time's up
