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Silent myocardial ischemia

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silent myocardial ischemia
Silent ischemia Cardiology Objective–eg, EKG–ST-segment depression, perfusion defects, radionuclide angiography or echocardiography of myocardial ischemia without associated Sx–ie, crushing precordial anginal pain Prognosis SMI is an independent predictor of poor clinical outcome in Pts with CADSee Angina, Myocardial infarction, Total ischemic burden
Silent myocardial ischemia
True silent ischemia The nociceptive pathways have a marked ↓ in sensitivity to pain, as occurs in DM, present in 10-20% of Pts with both CAD and DM resulting in significant coronary artery spasms
Pseudosilent ischemia The Pt either
• Denies pain, recognizing both its import, and that myocardial ischemia would have an immediate impact on lifestyle or
• Recognizes the pain but attributes it to something else, ie heartburn


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Cohn, (1993) Silent myocardial ischemia and infarction, 8-18, New York: Marcel Dekker, 87-97.
Detection ischemic episodes from electrocardiogram signal using ... by Moridani, Mohammad Karimi; Pouladian, Majid / Journal of Biomedical Science and Engineering (JBiSE)
Asymptomatic restenosis and silent myocardial ischemia are also common following PCI and are associated with worse patient outcome (9,10,11).
Previous percutaneous coronary intervention may increase symptom ... by Gurbuz, Ahmet Tayfun; Sasmazel, Ahmet; Cui, Haiyan; Zia, Ayhan A.; Aytac, Aydin / The Anatolian Journal of Cardiology (Anadolu Kardiyoloji Dergisi)
There is thought to be a higher prevalence of silent myocardial ischemia in the diabetic patient than in the nondiabetic patient due to the presence of diabetic neuropathy and that this justifies periodic stress testing.
Chronic complications of diabetes. (Featured CME Topic: Diabetes ... by Bell, David S.H. / Southern Medical Journal
 
 
 
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