Silent Myocardial Ischemia and Infarction.

Abstract

Part 1 Pathophysiology of silent myocardial ischaemia: cardiac pain mechanisms alterations in sensitivity to pain in patients with silent myocardial ischaemia the sequence of events during episodes of myocardial ischaemia - where does pain fit in? left ventricular dysfunction and myocardial blood flow disturbances during episodes of silent myocardial ischaemia - is less myocardium at jeopardy than during symptomatic ischaemia?. Part 2 Prevalence of asymptomatic coronary artery disease: prevalence of silent myocardial ischaemia prevalence and distinguishing features of silent myocardial infarctions. Part 3 Detection of asymptomatic coronary artery disease: what can be learned from standard diagnostic procedures? ambulatory electrocardiography (Holter monitoring) exercise testing combining the exercise test with other procedures cardiac catheterization. Part 4 Prognosis in asymptomatic coronary artery disease: prognosis in patients with silent myocardial ischaemia relation of silent myocardial ischaemia to sudden death, silent myocardial infarction and ischaemic cardiomyopathy prognosis after silent myocardial infarction and myocardial infarction without preceding angina. Part 5 Management of patients with asymptomatic coronary artery disease: medical treatment of asymptomatic coronary artery disease surgical treatment of asymptomatic coronary artery disease. Part 6 Future directions: silent myocardial ischaemia and silent myocardial infarction - what issues remain to be resolved?.