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Silent Myocardial Ischemia

Silent Myocardial Ischemia
Author: J. Morganroth
Publisher: Springer Science & Business Media
Total Pages: 243
Release: 2012-12-06
Genre: Medical
ISBN: 1461317452

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Although some investigators have questioned the importance and even the existence of silent myocardial ischemia, documentation presented at this two day symposium leaves little doubt about its existence and importance. It has been estimated that about 3 million of the estimated 4 million angina sufferers in the United states have frequent episodes of silent myocardial ischemia. Although it is not possible to define how many Americans die due to silent ischemia, it has been suggested that the mortality rate may exceed hundreds of thousands of victims annually. Unfortunately, there still remains a lack of definitive information as to why some ischemic events are painless. Some suggest the concept that the location and size of the myocardium at jeopardy relates to pain, that the pain threshold varies from patient to patient or that there are neurological deficits in the myocardium of some patients with silent ischemia. Abnormalities in myocardial perfusion and function can occur without pain. An interesting observation presented by several investigators has been that when a coronary artery is occluded in man, no ischemic pain is perceived for the first 30 seconds. Only after a 30 second period or so of occlusion does angina occur. An even more confusing observation is that some 30 second periods of occlusion of the same vessel in the same patient results in angina while the next occlusion can be a totally silent event.


Silent Myocardial Ischemia

Silent Myocardial Ischemia
Author: W. Rutishauser
Publisher: Springer Science & Business Media
Total Pages: 323
Release: 2012-12-06
Genre: Medical
ISBN: 3642695892

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This book presents the papers given at the International Symposium on Silent Myocardial Ischemia held on 27 and 28 May 1983 in Geneva, Switzerland. The symposium was held under the auspices of the European Society of Car diology, and the scientific committee was recruited from members of the working groups on angina pectoris and coronary blood flow and on myocar dial function. The editors want to express many thanks to all those who contributed to the success of the symposium. W. Rutishauser H. Roskamm v List of Contributors R. Abbott Medical Center, School of Medicine, 720 Harrison Avenue, Boston, Massachusetts 02118, U.S.A.G.J. Anderson Heart Station, Likoff Cardiovascular Institute, Hahnemann University, School of Medicine, 230 N. Broad Street, Philadelphia, Pennsylvania 19102, U.S.A M.E. Bertrand Service de Cardiologie "B" et Hemodynamique, Hopital Cardiologique, 59037 Lille Cedex, France P. Betz Rehabilitationszentrum fur Herz- und Kreislaufkranke, Slidring 15, 7812 Bad Krozingen, FRG W. Bleifeld Abt. fur Kardiologie, II. Medizinische Klinik, Univ.-Krankenhaus Eppendorf, Martinistr. 52,2000 Hamburg 20, FRG D.A. Bragg-Remschel Texas Heart Institute, Texas Children's Hospital, P.O. Box 20269, Houston, Texas 77225, U.S.A.R.W Brower Thoraxcentrum/Cardiologie, Academisch Ziekenhuis, Dr. Molewaterplein 40,3015 GD Rotterdam, Netherlands E.J. Brown, Jr. Cardiology Division, Dept. of Medicine. Health Sciences Center, State University of New York, Stony Brook, New York 11794, U.S.A.