[Silent myocardial ischemia in patients with different clinical forms of IHD]

70 IHD patients underwent ambulatory Holter ECG monitoring two times. Out of 357 episodes of transitory ischemia registered in the course of exercise and presenting primarily as ST depression the proportion of silent episodes reached 75.6%. The number of episodes, their duration and mean value of ST depression were significantly greater in subjects 1 year after myocardial infarction. These patients more frequently developed ventricular arrhythmia and had ejection fraction below 50%. The findings evidence a significant clinical value of silent myocardial ischemia. It may serve a predictor of repeated acute coronary accidents in postmyocardial infarction patients.