The clinical presentation of ischaemic heart disease includes stable and unstable angina pectoris, silent ischaemia, myocardial infarction, heart failure and sudden death [1]. For many years, unstable angina has been considered an intermediate syndrome between chronic stable angina and acute myocardial infarction. In recent years, its pathophysiology has been clarified and acute coronary syndro...

Myocardial infarction is linked to atherosclerosis, yet the sequence leading from silent coronary atherosclerosis to acute myocardial infarction has remained unclear. Here we show that hypercholesterolemic apolipoprotein E-/- low density lipoprotein receptor-/- mice develop not only coronary atherosclerosis but also myocardial infarction. Exposure of mice to mental stress or hypoxia led to acut...

left ventricular free wall rupture is responsible for up to 10% of in-hospital deaths following myocardial infarction. it is mainly associated with posterolateral myocardial infarction, and its antemortem diagnosis is rarely made. one of the medical complications of myocardial infarction is the rupture of the free wall, which occurs more frequently in the anterolateral wall in hypertensives, wo...

Hypoglycemia is a common complication of treatment of diabetes mellitus. The potential neurological complications of hypoglycemia as seizures and coma are well-recognized entities. A hypoglycemic episode is a risk factor for a patient with diabetes to have cardiovascular complications. Myocardial ischemia and infarction are known to occur in the setting of hypoglycemia. In view of the potential...

A case of silent myocardial infarction associated with hypoglycaemic coma is described. A hypoglycaemic episode represents a risk factor for a patient with underlying ischaemic heart disease. A routine ECG may be indicated in such circumstances. (7Accid Emerg Med 1996;13:357-358) Key terms: hypoglycaemia; diabetes mellitus; myocardial infarction Case report A 75 year old woman with ischaemic he...

OBJECTIVE To investigate whether plaque rupture and thrombosis have a role in silent ischaemia as well as in unstable angina. DESIGN Prospective analysis of the results of haemostatic diagnostic tests at the moment of developing silent ischaemia at rest. SETTING Coronary care unit. PATIENTS 22 patients with acute myocardial infarction, 12 patients with symptomatic angina (unstable angina)...

337 all levels, especially infectious disease specialists, immunologists, clinical microbiologists , and research scientists. This volume would be particularly useful to physicians who treat patients with AIDS, and to others who desire a comprehensive, yet readable, up-to-date discussion of the research and clinical aspects of AIDS. Silent myocardial ischemia is defined as objective evidence of...

Surgery and the subsequent recovery are serious circulatory stress tests that may result in symptomatic cardiac events in vulnerable patients. Despite efforts to prevent the occurrence of postoperative adverse events, myocardial infarction following noncardiac surgery remains common. Even more worrisome, the typical symptoms of myocardial ischaemia, such as chest pain, are easily masked by post...