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Asymptomatic marathon runner with silent myocardial ischemia due coronary artery disease for proximal LAD stenosis > 70%. A healthy 45-years-old man runner underwent to exercise ECG treadmill stress testing for sports pre-participation screening Massimo Bolognesi

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Asymptomaticmarathonrunner with silentmyocardial ischemia due coronaryarterydisease for proximal LAD stenosis > 70%

A healthy 45-years-old man runnerunderwent to exercise ECG treadmill stress testing for sports pre-participation screening

Massimo Bolognesi

Via Lambruschini 307 47023 Cesena, Italy, 7 Greenhill Prince Arthur Road Hampstead , London NW3 5U

Email: massbolo1@tin.it

case history
Case History
  • 45 - years – old man
  • Family History positive for CAD
  • No cardiovascularriskfactors
  • Healthyasymptomaticmaratonrunner
  • Physicalexaminationunremarkable
  • Goodphysical fitness with 60/ml/kg of VO2max
  • Regular Training (80-90 Km/week)
  • Previous sport medicalevaluationnormal
elettrocardiographyc findings
ElettrocardiographycFindings

NormalResting ECG

Positive ECG exercise stress testing

balloon angioplasty pci with stent on lad shows complete revascularization
Balloon Angioplasty – PCI with Stent on LAD shows complete revascularization