alexa Asymptomatic Ischemic Heart Disease in a 45-year-old Male Athlete: A Case Report | OMICS International | Abstract
ISSN: 2329-9126

Journal of General Practice
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Case Report

Asymptomatic Ischemic Heart Disease in a 45-year-old Male Athlete: A Case Report

Massimo Bolognesi1*Diletta Bolognesi2
1Sports Cardiology Medicine Centre, Asl 112 District of Cesena, Via Ungaretti 494 47521 Cesena, Italy
2Asl 112 District of Cesena, Via Lambruschini 307 47521 Cesena, Itlay
Corresponding Author : Massimo Bolognesi
Sports Cardiology Medicine Centre
Asl 112 District of Cesena
Via Ungaretti 494 47521 Cesena, Italy
Tel: +390547303240
E-mail: [email protected]
Received November 11, 2013; Accepted December 23, 2013; Published January 04, 2014
Citation: Bolognesi M, Bolognesi D (2014) Asymptomatic Ischemic Heart Disease in a 45-year-old Male Athlete: A Case Report. J Gen Pract 2:139. doi:10.4172/2329-9126.1000139
Copyright: © 2014 Bolognesi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Abstract Background: The primary purpose of pre-participation screening is identifying the cohort of athletes affected by unsuspected cardiovascular diseases, such as coronary artery disease (CAD) as well as preventing sudden cardiac death (SCD) during sports competitions or training, through appropriate intervention. Case Report: This case report describes the recent history of a middle-aged marathon runner suffering from asymptomatic ischemic heart disease at high risk for SCD and illustrates the clinical pathway. An exercise ECG stress testing was positive for subendocardial ischemia. Computerized tomography (CT) coronary angiogram subsequently showed critical narrowing of the left anterior descending artery. Invasive coronary angiography was performed following angioplasty procedure. One month later an exercise ECG stress testing was normal, indicative of complete myocardial revascularization. Conclusions: Silent myocardial ischemia (SMI) is not such a rare event in athletes, especially in endurance sports athletes. In fact, even though they are asymptomatic this does not exclude the presence of a severe coronary artery disease. Exercise stress testing is safe and affordable non-invasive screening for detecting asymptomatic coronary artery disease in athletes. Myocardial revascularization procedure is to re-establish the athlete’s state of fitness for competitive sports.

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