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Research Article Open access CC BY 3.0

Silent Myocardial Ischemia in Master Marathon Runners

Massimo Bolognesi, Diletta Bolognesi

Journal of Advances in Medicine and Medical Research · pp. 515–521 · Published 30 Sep 2013

10.9734/BJMMR/2014/6145

Abstract

Background: Silent myocardial ischemia is defined as objective documentation of myocardial ischemia in the absence of angina or anginal equivalents. There are a number of reports of exercise-related sudden deaths and myocardial infarctions in aerobically trained athletes suffering from exercise - induced silent myocardial ischemia. The most appropriate and used method to discover silent myocardial ischemia is the exercise stress testing. Case Reports: In this article the authors describe three emblematic cases of silent myocardial ischemia detected in master marathon runners during systematic prepartecipation screening. These marathon runners were asymptomatic but suffering from a severe coronary artery disease that only thanks to exercise treadmill stress test was detected and properly treated. Conclusions: Silent myocardial ischemia is not such a rare event in athletes, indeed quite the opposite. In fact, even though athletes are asymptomatic this does not exclude the possibility that they are suffering from severe coronary artery disease.

Silent myocardial ischemia exercise ECG stress testing; master athletes coronary artery disease sports pre-partecipation screening

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Cited by 4

Clinical significance of ST depression at exercise stress testing in competitive athletes: usefulness of coronary CT during screening

Fabio Sperandii, Emanuele Guerra, Eliana Tranchita · The Journal of Sports Medicine and Physical Fitness · 2018

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