Document Detail

Silent ischemia: a relevant problem in patients with coronary artery disease?
MedLine Citation:
PMID:  3154695     Owner:  NLM     Status:  MEDLINE    
Awareness of silent myocardial ischemia has greatly increased during the last few years in the medical community. Methods for its detection include exercise testing, Holter monitoring, and, more specifically, Thallium-201 scintigraphy, 2D-echocardiography, and multigated radionuclide ventriculography with phase analysis, all during rest and exercise. Cohn's classification of silent ischemia has proven very useful in highlighting the magnitude of the problem. It can be estimated that about 2% to 4% of apparently healthy middle aged males in industrialized European countries are prone to asymptomatic ischemic episodes. Prognosis of silent myocardial ischemia has been evaluated in prospective and retrospective studies. Most authors come to the conclusion that ischemia is the key finding, whether painful of asymptomatic. Even present understanding of pain perception from the ischemic myocardium is incomplete; the high prevalence and the relation with myocardial infarction and sudden cardiac death make silent myocardial ischemia one of today's most relevant problems.
W Rutishauser; A Righetti; P Roy
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiovascular drugs and therapy / sponsored by the International Society of Cardiovascular Pharmacotherapy     Volume:  2     ISSN:  0920-3206     ISO Abbreviation:  Cardiovasc Drugs Ther     Publication Date:  1988 May 
Date Detail:
Created Date:  1991-04-26     Completed Date:  1991-04-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8712220     Medline TA:  Cardiovasc Drugs Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  61-5     Citation Subset:  IM    
Centre de Cardiologie, Hôpital Cantonal Universitaire, Genève, Switzerland.
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MeSH Terms
Coronary Disease / diagnosis*,  physiopathology
Diagnosis, Differential

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

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