silent myocardial ischemia

Epidemiology

common in patients with:

• symptomatic stable coronary artery disease
• unstable angina
• after myocardial infarction
• diabetes mellitus

Diagnostic procedures

electrocardiogram:

• ST segment depression in the absence of:
  • angina pectoris
  • dyspnea
  • diaphoresis

Management

• similar to that for unstable angina
• pharmaceutical agents:
  • nitrates
  • beta-blockers
  • calcium channel blockers
• coronary angioplasty
• coronary artery bypass graft
• prognosis similar to that of symptomatic ischemia

More general terms

• myocardial ischemia