Objective: The ankle-brachial index (ABI) as a simple test which can detect peripheral arterial disease (PAD). Therefore in this study we try to evaluate the diagnostic value of ABI for silent myocardial ischemia in diabetic patients and compare the results with myocardial perfusion imaging (MPI) results. Materials and Methods: All 149 diabetic patients in this study were categorized according...

DOI: 10.5935/abc.20170093 Introduction Variant angina is a form of angina pectoris caused by vasospasm of an epicardic coronary artery that results in myocardial ischemia that might be manifested by transient ST segment elevation on the electrocardiogram.1 Although it usually presents with chest pain, asymptomatic episodes are not rare.2,3 We report a case of an incidental diagnosis of asymptom...

The growing number of patients who develop diabetes mellitus (DM) is a great concern for public health care. Type 2 DM comprises 90% of all diabetic patients worldwide, and is largely the result of excess body weight and physical inactivity. Long term complications of DM include microvascular damage and macrovascular injuries. These complications reduce life expectancy and quality of life, and ...

Brachial artery aneurysms are relatively rare and are mostly pseudoaneurysms rather than true aneurysms, as true aneurysms are even rarer entities. Patients can be asymptomatic, or present with pulsatile masses, or ischemia due to associated thromboembolic complications. Distal embolism can occur with transient or minimal ischemic symptoms; however, aneurysm itself can thrombose entirely. The a...

Coronary artery fistulas (CAFs) are anomalous terminations of coronary arteries in cardiac chambers or great arteries created by bypassing the myocardial capillary bed [1]. CAFs are rare and mostly asymptomatic. However, hemodynamically significant CAFs may cause myocardial ischemia, congestive heart failure, arrhythmias and infective endocarditis [2,3]. We present a case of coronary-pulmonary ...

OBJECTIVES We measured plasma atrial/brain natriuretic peptide (ANP/BNP) levels at rest and during exercise and correlated the results with various clinical findings, particularly with myocardial ischemia, in asymptomatic hypertrophic cardiomyopathy (HCM). BACKGROUND In patients with HCM, ANP and BNP levels are elevated and exercise-induced myocardial ischemia is common. However, it has not y...

Dolichoectasis is a dilative arteriopathy that can be seen in intracranial vertebral and basilar arteries people with hypertension advanced age. Although most cases are asymptomatic, cerebral ischemia, bleeding or compression may occur. The diagnosis of VBD was made by catheter angiography before; while MR the sensitive imaging method today. In addition, differential aneurysm/other vascular pro...

BACKGROUND We used cardiovascular magnetic resonance (CMR) to investigate the association between epicardial adipose tissue (EAT) thickness and silent myocardial ischemia, as well as coronary artery stenosis, in asymptomatic type 2 diabetic patients. METHODS The study included 100 type 2 diabetic subjects (51 male and 49 female; mean age: 56 ± 7 years). Silent myocardial ischemia, as determin...

An 18-year-old man with known hypertrophic obstructive cardiomyopathy since age 9 was referred for evaluation. His mother had died suddenly at age 24, and her autopsy demonstrated hypertrophic obstructive cardiomyopathy. The patient was asymptomatic. His only medication was propranolol. Two-dimensional echocardiographic images demonstrated normal left ventricular size with hyperdynamic function...