Silent Myocardial Ischemia

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Contents 1 Epidemiology 2 Diagnostic-procedures 3 Management 4 More General Terms 5 References

Epidemiology

• common in patients with:
• symptomatic stable coronary artery disease
• unstable angina
• after myocardial infarction
• diabetes mellitus

Diagnostic-procedures

• electrocardiogram:
• ST segment depression in the absence of:

• angina pectoris
• dyspnea
• diaphoresis

Management

• similar to that for unstable angina
• pharmaceutical agents:

• nitrates
• beta-blockers
• calcium channel blockers

• coronary angioplasty
• coronary artery bypass graft
• prognosis similar to that of symptomatic ischemia

More General Terms

• myocardial ischemia

References

Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 85

silent myocardial ischemia