case history
DESCRIPTION
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 - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/1.jpg)
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
Via Lambruschini 307 47023 Cesena, Italy, 7 Greenhill Prince Arthur Road Hampstead , London NW3 5U
Email: [email protected]
![Page 2: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/2.jpg)
Case History• 45 - years – old man • Family History positive for CAD• No cardiovascular risk factors• Healthy asymptomatic maraton runner• Physical examination unremarkable• Good physical fitness with 60/ml/kg of VO2 max• Regular Training (80-90 Km/week)• Previous sport medical evaluation normal
![Page 3: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/3.jpg)
Elettrocardiographyc Findings Normal Resting ECG Positive ECG exercise stress testing
![Page 4: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/4.jpg)
ECG features of Subendocardial ischemia induced by exercise stress testing
![Page 5: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/5.jpg)
Coronary computed tomography angiography showed narrowing of proximal LAD
![Page 6: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/6.jpg)
Coronary computed tomography angiography
![Page 7: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/7.jpg)
Proximal LAD artery stenosis > 70%
![Page 8: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/8.jpg)
Coronary Angiogram befor PCI
![Page 9: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/9.jpg)
Coronary Angiogram before PCI
![Page 10: Case History](https://reader036.vdocuments.site/reader036/viewer/2022062315/568165c0550346895dd8c2cd/html5/thumbnails/10.jpg)
Balloon Angioplasty – PCI with Stent on LAD shows complete revascularization