Prevalence and Clinical Significance of Silent Myocardial Ischemia in Exercise Test : PANEL DISCUSSION ON SILENT MYOCARDIAL ISCHEMIA
スポンサーリンク
概要
- 論文の詳細を見る
Prevalence of silent myocardial ischemia in exercise test was retrospectively reviewed from 749 tests performed for 513 patients with definite evidence of ischemic heart disease. The clinical significance was studied and absence of transient ischemia, occurrence of transient ischemia with and without pain were observed in 48%, 30% and 22% of the tests, respectively. Anginal pain was frequently observed in exercise tests for patients with severe coronary artery disease and low exercise tolerance. A large number of tests showing ischemic response were discontinued due to symptoms other than anginal pain and hence silent myocardial ischemia could be thought to be a result of ischemic state which does not reach the angina threshold. Silent myocardial ischemia was frequently observed during usual daily life. However, a definite correlation between severity of transient ischemia and presence or absence of chest pain in the same individuals was not obtained from the study. A day to day variation in the angina threshold might be responsible. In general, silent myocardial ischemia was not rare. However, the consistent condition was very unusual. In angina of effort (EA) and old myocardial infarction (OMI), 3.7% and 12.3% were silent, respectively. A higher incidence was obtained in OMI than in EA. This is important for the management of these patients. The mechanism of silent myocardial ischemia and the cause of the different incidence of this state between EA and OMI were not defined and remained to be further studied.
- 社団法人日本循環器学会の論文
- 1989-11-20
著者
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Murayama Masahiro
The Second Department Of Internal Medicine University Of Tokyo
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Musha Haruki
The Second Department of Internal Medicine, St.Marianna University School of Medicine
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Musha Haruki
Department Of Cardiovascular Internal Medicine St. Marianna University School Of Medicine Yokohama C
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SOTOZONO KOICHI
The Second Department of Internal Medicine, St. Marianna University School of Medicine
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Murayama Masahiro
Division Of Cardiology Department Of Internal Medicine St Marianna University School Of Medicine
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Musha Haruki
The Second Department Of Internal Medicine St Marianna University School Of Medicine
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Murayama Masahiro
The Second Department Of Internal Medicine Faculty Of Medicine
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Sotozono Koichi
The 2nd Department Of Internal Medicine St. Marianna University School Of Medicine
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Sotozono Koichi
The Second Department Of Internal Medicine St. Marianna University School Of Medicine
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Murayama Masahior
The 2nd Department Of Internal Medicine St. Marianna University
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