PMID- 2624502
OWN - NLM
STAT- MEDLINE
DCOM- 19900329
LR  - 20061115
IS  - 0020-3785 (Print)
VI  - 59
IP  - 6
DP  - 1989 Nov-Dec
TI  - [Silent myocardial ischemia: a problem in diagnosis and treatment].
PG  - 567-71
AB  - We tried to establish the incidence of silent myocardial ischemia (SMI) in the 
      general population and also in patients with recognised ischemic heart disease. 
      For this, purpose 2, 375 stress tests (ST) with Bruce protocol were reviewed, 364 
      were positive and those patients were divided in two groups: group I with SMI 
      during the ST and group II with myocardial ischemia and angina during the ST. 
      Coronary risk factors ergometric behaviour and angiographic factors were 
      analysed. Group I had 263 patients with SMI (71%). Group II had 111 patients with 
      ischemia and angina (29%) P less than 0.05; 90 patients had diabetes mellitus in 
      group I and 19 in group II P less than 0.05. A previous myocardial infarction was 
      registered in 157 patients from group I and 55 from group II P less than 0.05. 
      The remaining coronary risks factors, ergometrics variables and significance and 
      number of diseased coronary vessels were similar in both groups. We conclude that 
      SMI is a frequent event in patients with ischemic heart disease. It represents 
      probably the most frequent event in this disease. Previous myocardial infarction 
      and diabetes mellitus may play an important role in the pathogenesis of SMI. The 
      ST and Holter monitoring are dependable procedures for the identification of SMI 
      and should be always performed specially in patients with high coronary risk 
      factors. Once detecting SMI a therapeutic plan should be considered for medical, 
      angioplastic or surgical procedures even in asymptomatic patients.
FAU - Gonzalez Carmona, V M
AU  - Gonzalez Carmona VM
AD  - Hospital de Cardiologia, Luis Mendez, Centro Medico Nacional Siglo XXI IMSS, 
      Mexico, D.F.
FAU - Garcia Castillo, A
AU  - Garcia Castillo A
FAU - Sanchez Diaz, C J
AU  - Sanchez Diaz CJ
FAU - Cuan Perez, M
AU  - Cuan Perez M
FAU - Parcero Valdes, J
AU  - Parcero Valdes J
LA  - spa
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Isquemia miocardica silenciosa: un problema de diagnostico y tratamiento.
PL  - Mexico
TA  - Arch Inst Cardiol Mex
JT  - Archivos del Instituto de Cardiologia de Mexico
JID - 0400463
SB  - IM
MH  - Angina Pectoris/etiology
MH  - Cohort Studies
MH  - Coronary Disease/complications/*diagnosis/epidemiology/therapy
MH  - Diabetes Complications
MH  - Electrocardiography, Ambulatory
MH  - Exercise Test
MH  - Humans
MH  - Mexico/epidemiology
MH  - Myocardial Infarction/complications/diagnosis
EDAT- 1989/11/01 00:00
MHDA- 1989/11/01 00:01
CRDT- 1989/11/01 00:00
PHST- 1989/11/01 00:00 [pubmed]
PHST- 1989/11/01 00:01 [medline]
PHST- 1989/11/01 00:00 [entrez]
PST - ppublish
SO  - Arch Inst Cardiol Mex. 1989 Nov-Dec;59(6):567-71.