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[Silent myocardial ischemia: its increase with aging].

A de C Azevedo1, P J de Souza, M S Bueno

  • 1Pontifícia Universidade Católica Laboratório Tecnocordis, Rio de Janeiro.

Arquivos Brasileiros De Cardiologia
|October 1, 1991
PubMed
Summary

Silent myocardial ischemia episodes and their duration increase with age. This study found that older patients with coronary obstructions experienced more frequent and longer silent ischemia events, even while on anti-anginal medication.

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Area of Science:

  • Cardiology
  • Geriatrics
  • Ischemic Heart Disease

Context:

  • Silent myocardial ischemia is a significant concern in patients with coronary artery disease.
  • Aging is a known risk factor for cardiovascular diseases.
  • Understanding how ischemia changes with age is crucial for patient management.

Purpose:

  • To investigate the relationship between patient age and the occurrence and duration of silent myocardial ischemia.
  • To determine if silent myocardial ischemia episodes increase with aging in patients with coronary obstructions.

Summary:

  • A Holter monitoring study of 1,300 patients, with 330 selected for analysis, assessed silent myocardial ischemia in four age groups.
  • Results showed a progressive increase in both the number and duration of silent myocardial ischemia episodes with advancing age.

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  • The proportion of patients with ischemia and the duration of ischemic episodes significantly increased in older age groups.

    • Impact:

    • Silent myocardial ischemia is prevalent even during anti-anginal treatment, predominantly in its silent form.
    • Findings highlight the increased burden of silent myocardial ischemia in older adults.
    • This research underscores the need for age-specific considerations in managing silent myocardial ischemia.