Selected Publication:
Klein, W; Eber, B; Fruhwald, F.
Is it necessary to treat silent myocardial ischemia?
ACTA MED AUST. 1992; 19(3): 67-69.
Doi: 10.1111/j.1600-051X.1992.tb01152.x
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Fruhwald Friedrich
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- Abstract:
- At the present time there is no firm evidence that silent myocardial ischemia (on exercise or Holter ECG) should be treated with anti-ischemic drugs. Silent ischemic episodes obviously are a marker for ischemic activity of coronary artery disease and therefore a bad prognostic sign. However, antianginal drugs (nitrates, calcium-blockers, beta-blockers) have not been shown to improve prognosis. Patients with ischemic episodes should be further evaluated by thallium scintigraphy and coronary angiography. If a significant coronary disease is present, the established therapy with risk factor reduction, lipid lowering drugs and aspirin should be administered. In some instances PTCA or CABG may be indicated.
- Find related publications in this database (using NLM MeSH Indexing)
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Angina Pectoris - mortality
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Angioplasty, Transluminal, Percutaneous Coronary - mortality
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Aspirin - administration and dosage
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Cause of Death - administration and dosage
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Coronary Artery Bypass - administration and dosage
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Coronary Circulation - drug effects
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Electrocardiography, Ambulatory - drug effects
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Humans - drug effects
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Myocardial Ischemia - mortality
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Quality of Life - mortality
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Risk Factors - mortality
- Find related publications in this database (Keywords)
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Silent Myocardial Ischemia
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Nitrates
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Calcium Antagonists
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Beta-Blockers