Related Experiment Videos
[Silent ischemic cardiopathy: a study with dynamic electrocardiogram and ergometric test]
R Di Paola1, C Cinnirella, A Drago
1Istituto di Cardiologia, Università degli Studi, Catania.
Cardiologia (Rome, Italy)
|March 1, 1992
Summary
Silent ischemic attacks are common in effort angina patients, with most episodes occurring without symptoms. These silent events do not indicate a poorer prognosis and Holter monitoring is crucial for assessment.
Area of Science:
- Cardiology
- Clinical Medicine
- Diagnostic Monitoring
Context:
- Effort angina is a clinical condition characterized by chest pain during physical exertion.
- Silent ischemic attacks, myocardial ischemia without symptoms, are increasingly recognized.
- Understanding their prevalence and prognostic implications is vital for patient management.
Purpose:
- To determine the prevalence, daily distribution, and prognostic value of silent ischemic attacks in patients with effort angina.
- To compare characteristics of silent versus symptomatic ischemic episodes.
- To evaluate the utility of Holter monitoring in assessing these patients.
Summary:
- A retrospective study of 92 effort angina patients found 80% experienced silent ischemic attacks.
- Silent episodes were more frequent (69.5%) and shorter than symptomatic ones.
- No significant difference in coronary artery disease severity or 1-year cardiovascular mortality was observed between patients with and without silent ischemia.
Impact:
- Silent ischemic attacks in effort angina do not appear to carry a poor prognostic value.
- Holter monitoring is confirmed as a valuable tool for the comprehensive assessment of effort angina patients.
- Findings support the routine use of Holter monitoring for detecting and evaluating silent ischemia.