Document Detail


Ambulatory monitoring of silent myocardial ischemia: what is its utility?
MedLine Citation:
PMID:  1546354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In patients with angina pectoris, ambulatory ST segment monitoring has documented that asymptomatic myocardial ischemic episodes occur with greater frequency than previously suspected. During such episodes, ischemia has been verified by nuclear, echocardiographic, and biochemical techniques. Painless ST segment depression is consistent with severe coronary artery disease when detected by ambulatory monitoring in patients with angina and portends a worsened prognosis in patients about to have vascular surgical procedures. On the other hand, ST depression without angina has a better prognosis than ST depression with angina during treadmill exercise testing. Silent ischemia of prolonged duration per 24-hour period suggests a poor prognosis in patients with a history of unstable angina or myocardial infarction.
Authors:
J L Blackshear
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Southern medical journal     Volume:  85     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-04-16     Completed Date:  1992-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  293-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, Mayo Clinic Jacksonville, FL.
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MeSH Terms
Descriptor/Qualifier:
Angina, Unstable / complications
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Disease / complications,  diagnosis*,  therapy
Electrocardiography
Humans
Monitoring, Physiologic
Prognosis
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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