Silent ischemia after myocardial infarction. Prognosis, mechanism, and intervention.

Abstract:

:Asymptomatic ischemia after myocardial infarction is a common clinical problem. As much as 50% of the postinfarction patient population who have ischemia on exercise testing may have no symptoms at all. In these patients, ischemia detected by either exercise testing or ambulatory electrocardiographic monitoring, with or without symptoms, confers a worse prognosis. The mechanism of silent ischemia in this group of patients may be due to the deprivation of afferent innervations created by critically placed infarctions. The management of these postinfarction patients must be centered on the treatment of ischemia, regardless of symptoms.

journal_name

Circulation

journal_title

Circulation

authors

Yeung AC,Barry J,Selwyn AP

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

II143-8

issue

3 Suppl

eissn

0009-7322

issn

1524-4539

journal_volume

82

pub_type

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