Key result
Exercise ECG detects ~90% proximal LAD stenosis in an athlete with misdiagnosed angina.
Why the study?
Misdiagnosis of angina pectoris is not uncommon in athletes due to lack of physician skills and experience in recognizing this disease.
Case Report (n=1)
No
Exertional angina can be misdiagnosed in athletes, emphasizing the need for careful evaluation to prevent sudden cardiac death.
Answers are grounded in this paper and cite their sources.
Vigilant exercise testing may avert missed CAD in athletes with angina; leaves open prospective validation for sudden death prevention.
Background: Misdiagnosis of angina pectoris is not uncommon in athletes. Physicians can fail to make a correct clinical diagnosis if they don’t have the skills and experience needed to recognize this disease. Case Report: This case report describes an exertional angina misdiagnosis due to a severe coronary artery disease in a 50-year-old male athlete initially examined by both a general practitioner and a cardiologist. The athlete subsequently underwent physical examination in a sports cardiology medicine center where diagnosis of angina pectoris caused by severe mono-vessel coronary artery disease was made, requiring an angioplasty with stenting. Conclusions: Although most of the severe symptoms in a heart attack are hard to miss, sometimes in athletes angina pectoris is not readily recognized. However, this is dangerous and can lead to the sudden death of the athlete. Diagnosis must be timely and accurate, in order for the patient to receive the best prognosis.
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Bolognesi et al. (2014) conducted a case report in Angina Pectoris and Severe Coronary Artery Disease (n=1). Exercise ECG testing and coronary angiography was evaluated on Detection of severe coronary artery disease. Exercise ECG testing successfully identified severe coronary artery disease (90% occlusion of the proximal LAD) in a 50-year-old athlete whose angina was initially misdiagnosed.
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