Document Detail

Prognosis in stable angina pectoris and silent myocardial ischemia.
MedLine Citation:
PMID:  3282419     Owner:  NLM     Status:  MEDLINE    
The results of current investigation suggest that a former clinical standby, namely, the presence or absence of angina, is no longer the principal prognostic factor for determining a patient's risk of cardiac events, including myocardial infarction. In a retrospective analysis, patients with chronic stable angina were compared on the basis of presence or absence of angina during ischemia detected by thallium imaging. Patients were similar in terms of risk factors, clinical characteristics and catheterization data. At 30 months of follow-up, the myocardial infarction rate was 22% in the silent group compared with 4% in the group with angina. Transient asymptomatic ischemia has prognostic value independent of other variables such as exercise stress testing or cardiac catheterization data. Future prognostic studies should be careful to include patient populations with similar characteristics; they also will need to provide protracted follow-up and utilize sensitive and reproducible diagnostic techniques.
M E Assey
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of cardiology     Volume:  61     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-05-18     Completed Date:  1988-05-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19F-21F     Citation Subset:  AIM; IM    
Division of Cardiology, Medical University of South Carolina College of Medicine, Charleston.
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MeSH Terms
Angina Pectoris / mortality,  physiopathology,  radionuclide imaging
Coronary Disease / mortality*,  physiopathology,  radionuclide imaging
Exercise Test
Retrospective Studies
Stroke Volume

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

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