Background: SMI is the reduction of oxygen-rich condition in blood flow to heart which happens absence discomfort chest or other symptoms. Around 20 – 30% all are silent, only 5% early treadmill-testing signs adverse diagnosis. Aim: To estimate and identify prevalence risk factors silent myocardial ischemia anterior STEMI patients treated with primary PCI. Patients Methods: This prospective cro...

BACKGROUND Inferential evidence suggests that silent ischemia might be related to sympathetic activity. Study of [3H]norepinephrine kinetics is a suitable tool to assess the regional sympathetic activity. This method was applied to investigate whether silent myocardial ischemia in unstable angina is related to and depends on cardiac sympathetic overactivity. METHODS AND RESULTS Patients with ...

R ecently, unrecognized or silent myocardial ischemia has generated considerable interest. While not a new topic, silent ischemia was originally used in the context of asymptomatic or latent coronary artery disease when ischemic-type ST-segment depression was found on exercise electrocardiograms in totally asymptomatic patients. However, in the mid-1970s, when high-quality ambulatory ECG monito...

T herapeutic decisions in patients with coronary artery disease are frequently based on the severity of chest pain despite the lack of correlation between severity of symptoms and prognosis. There are many circumstances in which objective evidence for myocardial ischemia is present but symptoms are absent. Episodes of so-called “silent myocardial ischemia” are very frequent in some patients wit...

The anti-ischemic effects of atenolol and nifedipine were compared in a randomized double-blind crossover manner in 24 patients with stable exertional angina and transient silent ischemia during ambulatory electrocardiographic (ECG) monitoring. Both atenolol and nifedipine were effective (p less than 0.005) in reducing the average number and duration of transient ischemic events, but therapy wi...

syndrome? J Cardiovasc Electrophysiol 2001;12:500–502. 29. Deanfield JE, Shea M, KensettM, HorlockP, WilsonRA, de Landsheere CM, Selwyn AP. Silent myocardial ischaemia due to mental stress. Lancet 1984;84:1001–1005. 30. Rozanski A, Bairey Merz CN, Krantz DS, Friedman J, Resser KJ, Morell M, Hilton-Chalfen S, Hestrin L, Bietendorf J, Berman DS. Mental stress and the induction of silent myocardia...