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Controversies in cardiovascular care: silent myocardial ischemiaThe objective evidence of silent myocardial ischemia--ischemia in the absence of classical chest pain--includes ST-segment shifts (usually depression), momentary left ventricular failure, and perfusion defects on scintigraphic studies. Assessment of angina patients with 24-hour ambulatory monitoring may uncover episodes of silent ischemia, the existence of which may give important information regarding prognosis and may help structure a more effective therapeutic regimen. The emerging recognition of silent ischemia as a significant clinical entity may eventually result in an expansion of current therapy--not only to ameliorate chest pain, but to minimize or eliminate ischemia in the absence of chest pain.
Document ID
20040089620
Acquisition Source
Legacy CDMS
Document Type
Reprint (Version printed in journal)
Authors
Hollenberg, N. K.
(Harvard Medical School Boston, United States)
Date Acquired
August 21, 2013
Publication Date
March 1, 1987
Publication Information
Publication: Complicated Cardiac Patient
Volume: 1
Issue: 2
ISSN: 0888-3777
Subject Category
Aerospace Medicine
Distribution Limits
Public
Copyright
Other
Keywords
NASA Program Space Medicine
Non-NASA Center
NASA Discipline Regulatory Physiology
NASA Discipline Number 21-50

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