Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Silent ischaemia: an update on current concepts.

J J Glazier1, M Vrolix, H Kesteloot

  • 1Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium.

Acta Cardiologica
|January 1, 1991
PubMed
Summary

Angina pectoris is a common symptom of coronary heart disease. However, many patients experience silent myocardial ischemia, which is not accompanied by chest pain, challenging traditional diagnostic assumptions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The WOEST 2 registry : A prospective registry on antithrombotic therapy in atrial fibrillation patients undergoing percutaneous coronary intervention.

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·2022
Same author

5-Year clinical follow-up of the COBRA (complex coronary bifurcation lesions: Randomized comparison of a strategy using a dedicated self-expanding biolimus A9-eluting stent vs. a culotte strategy using everolimus-eluting stents) study.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions·2018
Same author

Subclinical volume overload in stable outpatients with chronic heart failure.

Acta cardiologica·2016
Same author

Iatrogenic Atrail Septal Defect After Mitral Valve Replacement.

Acta clinica Belgica·2016
Same author

The case for the physician assistant.

Clinical medicine (London, England)·2012
Same author

Skin injury following prolonged fluoroscopy: early and late appearances.

QJM : monthly journal of the Association of Physicians·2011

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Angina pectoris is traditionally considered the primary symptom of coronary heart disease (CHD).
  • Physicians often rely on angina as a key indicator for diagnosing ischemic heart disease and assessing treatment effectiveness.
  • Recent studies challenge the assumption that angina reliably indicates ongoing myocardial ischemia.

Purpose of the Study:

  • To evaluate the prevalence and significance of silent myocardial ischemia in patients with coronary heart disease.
  • To investigate whether angina is a consistent marker for myocardial ischemia.

Main Methods:

  • Review of clinical studies published over the last 10-15 years.
  • Analysis of patient data regarding symptoms during episodes of myocardial ischemia.

Related Experiment Videos

Main Results:

  • A significant number of patients with coronary heart disease experience myocardial ischemia without typical anginal pain, termed silent myocardial ischemia.
  • Some painless ischemic episodes may present with "anginal equivalents" like dyspnea or palpitations.
  • The majority of painless ischemic episodes are truly silent, without any accompanying symptoms.

Conclusions:

  • Silent myocardial ischemia is a common phenomenon in coronary heart disease.
  • The traditional reliance on angina as the sole marker for ischemia may be insufficient.
  • Further research is needed to understand the full implications of silent myocardial ischemia in CHD management.