Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Fruhwald, FM; Eber, B; Rotman, B; Toplak, H; Klein, W; Lind, P.
Silent myocardial ischemia. Current concepts of pathophysiology and diagnosis
ACTA MED AUST. 1991; 18(4): 85-89.
Web of Science
PubMed
- Führende Autor*innen der Med Uni Graz
- Fruhwald Friedrich
- Co-Autor*innen der Med Uni Graz
- Rotman Brigitte
- Toplak Hermann
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- Abstract:
- Silent myocardial ischemia (SMI) is divided into 3 groups: type I: completely asymptomatic patients, type II: patients after acute myocardial infarction with SMI, type III: patients with angina pectoris (AP) and SMI. Pathophysiology on the lack of pain-perception and the cause for high tolerance against pain in SMI-patients has not yet been cleared up. It is most likely that more than one mechanism is involved in every patient, e.g. generally lower pain-perception in SMI-patients, physically counter-regulation in pain, duration and strength of myocardial ischemia. Diagnosis of SMI can be made by exercise- and long-term-ECG, thalliumszintigraphy and coronary angiography, in doing so the pros and cons of the 4 established methods have to be noted. The summary of the findings together with the lack of pain leads to the diagnosis of SMI.
- Find related publications in this database (using NLM MeSH Indexing)
- Angina Pectoris - diagnosis
- Coronary Angiography - diagnosis
- Coronary Disease - diagnosis
- Electrocardiography, Ambulatory - diagnosis
- Exercise Test - diagnosis
- Humans - diagnosis
- Myocardial Infarction - diagnosis
- Thallium Radioisotopes - diagnostic use
- Tomography, Emission-Computed, Single-Photon - diagnostic use
- Find related publications in this database (Keywords)
- Coronary Heart Disease
- Silent Myocardial Ischemia
- Unstable Angina
- Smi-Pathophysiology
- Smi-Diagnosis