CASE REPORTS   

Medicina dello Sport 2013 December;66(4):599-605

Copyright © 2014 EDIZIONI MINERVA MEDICA

language: English, Italian

False positive ST segment depression during exercise stress test in presence of T-waves inversion: usefulness of multislice cardiac computed tomography in sports medicine

Fallavollita L. ^{1, 2}, Biasini V. ² ✉

¹ Unit of Cardiology, INRCA, Fermo, Italy; ² Associazione Medico Sportiva Dilettantistica di L’Aquila - FMSI

Abnormal ventricular repolaritation patterns such as inverted T-waves are occasionally present in trained adult athletes. Treadmill exercise electocardiographic stress test is the classical method for initial assessment of coronary artery disease (CAD). It is known that the treadmill exercise stress test may be falsely positive. A 64-slice multidetector tomography angiography (MDCT) is a noninvasive important method in the early detection of CAD with high accuracy. We present a case of false positive during stress test. The use of MDCT has allowed us to exclude with reasonable certainty the suspicion of CAD.