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MEDICINA DELLO SPORT
A Journal on Sports Medicine
Official Journal of the Italian Sports Medicine Federation
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,163
Medicina dello Sport 2009 September;62(3):285-97
language: English, Italian
Usefulness of 64-multislice computed tomography coronary angiography in physical fitness examination
Guiducci V., Tortorella G., Manari A.
1 Unit of Interventional Cardiology, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
2 Sports Medicine Center, Reggio Emilia, Italy
3 Unit of Cardiology Hospitalization, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
Aim. The aim of the study was to evaluate the potential use of computed tomography (CT) coronary angiography as a diagnostic tool in cases of suspected ischemic cardiopathy encountered at physical fitness certification for participation in sports.
Methods. Since April 2006, a 64-multislice computed tomography system is operated at our hospital to study the coronary vessels. The clinical indications for this imaging study are determined by the cardiologist in accordance with the most recent international guidelines. Some of the patients examined with this method come from the sport medicine center.
Results. Of the over 300 patients examined, 30 were referred from the sports medicine center. In 21 CT coronary angiography was negative and no further diagnostic procedures were performed; in 9 CT coronary angiography was positive and was further investigated by conventional coronary angiography: in 6 severe coronary disease was confirmed, and in 3 it was not (false positive).
Conclusion. CT coronary angiography is a safe, minimally invasive diagnostic tool; based on currently accepted international guidelines, use of this method is clinically indicated in individuals at low risk of cardiovascular disorders, which, in our experience include physically active persons undergoing examination for physical fitness certification.