Case Report   

The Journal of Sports Medicine and Physical Fitness 2022 Jul 11

DOI: 10.23736/S0022-4707.22.14184-8

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Clinical case report of a professional triathlete with positive exercise stress test but negative coronary angiography

Elio ASSISI ✉, Elettra LIBENER, Simone GROSSGASTEIGER, Christine MUR, Stefan RESNYAK

Department of Sports Medicine, Healthcare Company of South Tyrol, Bolzano, Italy

This article describes the clinical case of a master athlete, practising triathlon, who came to our Sports Medicine Center to be eligible for competitive sport. The subject, who had a family history of ischemic heart disease, presented a significant lowering of the ST segment in the inferolateral leads on the maximal cycle ergometer exercise test. Inducible myocardial ischemia emerged from the second level investigations. However, it was not confirmed by two coronary angiographies, the second performed after 9 years. The subject remained asymptomatic for the entire duration of the follow-up and in excellent clinical conditions, having never shown adverse events of cardiovascular nature.

KEY WORDS: Coronary artery disease (CAD); Coronary microvascular dysfunction (CMD); Stress echocardiography