Document Detail

Reviewing myocardial silent ischemia: specific patient subgroups.
MedLine Citation:
PMID:  17566575     Owner:  NLM     Status:  MEDLINE    
Silent myocardial ischemia (SMI) is a relatively common, yet poorly understood, clinical entity. The most accurate means of detecting SMI and the precise treatment endpoints remain unclear. However, the presence of SMI correlates with the likelihood of future adverse cardiac events. Evidence suggests that patients at high risk of severe cardiac ischemia, even with the absence of symptoms, derive the greatest benefit from an aggressive diagnostic and therapeutic approach. This paper is giving a detailed review of SMI in regards to specific patient subgroups, i.e. populations with diabetes mellitus, hypertension, elderly patients, post-revascularization patients, women, the suggested screening procedures for each subgroup, as well as the emersion of new markers for the selection of high-risk patients for screening.
Theodoros Xanthos; Konstantinos A Ekmektzoglou; Lila Papadimitriou
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-06-13
Journal Detail:
Title:  International journal of cardiology     Volume:  124     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-04     Completed Date:  2008-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  139-48     Citation Subset:  IM    
Department of Experimental Surgery and Surgical Research N.S.Christeas, Athens School of Medicine, Athens, Greece.
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MeSH Terms
Age Distribution
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary / methods
Coronary Angiography
Coronary Disease / diagnosis,  epidemiology,  therapy
Diabetes Mellitus, Type 2 / diagnosis,  epidemiology*
Hypertension / diagnosis,  epidemiology*
Kidney Failure, Chronic / diagnosis,  epidemiology*
Middle Aged
Myocardial Ischemia / diagnosis*,  epidemiology*
Risk Assessment
Severity of Illness Index
Sex Distribution
Survival Analysis

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