Reviewing myocardial silent ischemia: Specific patient subgroups

Recurrent ischemia across the spectrum of acute coronary syndromes: Prevalence and prognostic significance of (Re-)infarction and ST-segment changes in a large contemporary registry

“…Because patients did not undergo continuous ECG monitoring, only episodes of symptomatic RI were recorded, although previous studies have shown that most episodes of RI are in fact silent [26,27]. It is plausible that continuous ECG monitoring could facilitate more reliable detection of RI and precise assessment of its prognostic value [30][31][32][33][34]. Follow-up at 6 months was incomplete, although patients lost to follow-up did not differ significantly from the remaining cohort in their GRACE risk scores and prevalence of RI.…”

Silent Very Late Thrombotic Occlusion of Sirolimus-Eluting Stent Confirmed by Directional Coronary Atherectomy

“…11,12 Gradual thrombus formation in SES, not resulting in sudden total occlusion, and recruitment of welldeveloped collaterals is another possibility for the patient not having presented with ACS. Silent thrombotic occlusion of a stent may occur in patients with no symptoms of myocardial ischemia (ie, some patients with diabetes mellitus or stent implantation in the infarct-related artery), 13 although the present case had exertional angina and did not have diabetes mellitus or a history of previous myocardial infarction.…”

Mood and transient cardiac dysfunction in everyday life

“…The incidence of silent transient myocardial ischemia during ambulatory electrocardiographic monitoring is highly variable across studies (Xanthos et al 2008). For example, Gullette et al (1997) reported that 44% of patients who had been withdrawn from beta-blockers and other medications manifest transient ischemia over 48 h, whereas the rate in a more recent study of hypertensive patients was 20.1% (Uen et al 2006).…”