Silent ischaemic heart disease is increasing in the sports population of master and veteran athletes. The most effective method to detect the presence of inducible myocardial ischaemia in asymptomatic subjects is the ECG exercise maximum stress test. In case of a positive or doubtful stress test in an athlete who has undergone sports screening, it is necessary to perform additional cardiovascular image tests, among which the CCTA is the preferred one because of its high negative predictive value. In this manuscript the author describes an anecdotal case of subclinical coronary artery disease in a master athlete, discovered during sports screening, and its practical management in the context of Italian law. 
 
Keywords: Silent myocardial ischemia; Subclinical CAD; Master athletes; CCTA; Ex-ECG stress test