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 ischemia: a clinical update.

G A Valle1, L Lemberg

  • 1Department of Medicine, University of Miami School of Medicine 33101.

Chest
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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

Manual MGIT™ system for the detection of Mycobacterium tuberculosis: insights from a high TB burden setting.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease·2016
Same author

[Effectiveness and patient tolerance of screening colonoscopy -- first results].

Zeitschrift fur Gastroenterologie·2004
Same author

Herbal or complementary medicine: fact or fiction?

American journal of critical care : an official publication, American Association of Critical-Care Nurses·2001
Same author

Brugada.

American journal of critical care : an official publication, American Association of Critical-Care Nurses·2001
Same author

Heart failure: update on treatment and prognosis.

American journal of critical care : an official publication, American Association of Critical-Care Nurses·2001
Same author

The critical role of the endothelial cell in acute coronary events.

American journal of critical care : an official publication, American Association of Critical-Care Nurses·2001
Same journal

A Comparative Study of Radiation Exposure in Conventional and Robotic Bronchoscopy.

Chest·2026
Same journal

Independent Prognostic Contributions of Anti-Ro52 and Anti-MDA5 in Autoimmune-Associated Interstitial Lung Disease.

Chest·2026
Same journal

Lung aeration and gas exchange in SGA or AGA infants with moderate-severe BPD: secondary analysis of the PATH-BPD study.

Chest·2026
Same journal

Lung Cancer Incidence and Mortality after Negative Low-Dose CT Screening Results.

Chest·2026
Same journal

Symptom prevalence and impact on lung cancer risk in the SUMMIT study.

Chest·2026
Same journal

How I Do It: De-escalation of Prostacyclin-Based Therapy in Patients Treated With Sotatercept.

Chest·2026
See all related articles

Silent ischemia, often overlooked in coronary artery disease, requires careful diagnosis in at-risk patients. Prompt identification and management of silent ischemia are crucial for comprehensive cardiovascular care.

Area of Science:

  • Cardiology
  • Diagnostic Medicine

Background:

  • Silent ischemia is a prevalent manifestation of coronary artery disease, contributing significantly to the overall ischemic burden.
  • Painless ischemia can complicate clinical assessments, potentially impacting the physician-patient relationship and diagnostic thoroughness.

Observation:

  • Silent ischemia should be suspected in individuals aged 35+ with a family history of early coronary artery disease or two major risk factors.
  • Diagnostic protocols involve electrocardiographic exercise stress tests, with thallium-201 scans recommended for equivocal results or in females due to exercise electrocardiogram false positives.
  • Differentiating ischemic chest pain from other conditions like esophageal or gastric disorders necessitates a detailed patient history and stress testing.

Findings:

  • A 24-hour ambulatory electrocardiographic recording is valuable for quantifying the total ischemic burden.

Related Experiment Videos

  • Effective management involves tailored medical therapy, often combining nitrates, beta-blockers, calcium channel blockers, and aspirin, to suppress both silent and symptomatic ischemia.
  • Treatment success is guided by symptomatic improvement, indicating a reduction in overall ischemic episodes.

    • Implications:

    • Establishing the diagnosis and severity of ischemic syndromes guides further investigations and treatment strategies, including interventional procedures if medical management fails.
    • Addressing silent ischemia alongside symptomatic angina is essential for comprehensive management of the total ischemic syndrome.
    • Coronary angiography and subsequent interventions like angioplasty or bypass surgery are considered for patients unresponsive to drug therapy.