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Case History

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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Case History

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  1. 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

  2. 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

  3. ElettrocardiographycFindings NormalResting ECG Positive ECG exercise stress testing

  4. ECG features of Subendocardial ischemia induced by exercise stress testing

  5. Coronary computed tomography angiography showed narrowing of proximal LAD

  6. Coronary computed tomography angiography

  7. Proximal LAD arterystenosis > 70%

  8. CoronaryAngiogrambefor PCI

  9. Coronary Angiogram before PCI

  10. Balloon Angioplasty – PCI with Stent on LAD shows complete revascularization

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