Silent Myocardial Ischemia After Myocardial Infarction: Severity of Coronary Artery Disease, Impact on Left Ventricular Systolic and Diastolic Functions and Prognosis

The aim of the present study was assessment of the relationship of silent myocardial ischemia with clinical, coronary angiography findings, and left ventricular systolic and diastolic function, and its prognostic significance in patients early after myocardial infarc tion. One hundred nineteen male...

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Bibliographic Details
Published in:Angiology 1998-06, Vol.49 (6), p.455-462
Main Authors: Özgül, Sami, Kudaiberdieva, Gulmira Z.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cardiology. Vascular system
Coronary Angiography
Coronary heart disease
Diastole
Echocardiography, Doppler
Heart
Humans
Male
Medical sciences
Middle Aged
Myocardial Contraction
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - physiopathology
Prognosis
Systole
Ventricular Function, Left
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Summary:The aim of the present study was assessment of the relationship of silent myocardial ischemia with clinical, coronary angiography findings, and left ventricular systolic and diastolic function, and its prognostic significance in patients early after myocardial infarc tion. One hundred nineteen male patients (mean age 48.2 ± 1.2 years) with first Q wave myocardial infarction entered the study. Routine coronary angiography, 24-hour Holter electrocardiographic recordings, and two-dimensional and Doppler echocardiography with assessment of left ventricular systolic and diastolic function were performed in all the patients. Prospective follow-up was done during 1 year. Patients with signs of silent myocardial ischemia early after myocardial infarction had more severe coronary artery disease, pronounced disturbances of left ventricular systolic and diastolic performance, and adverse prognosis than those without ischemia appearance during Holter recordings.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331979804900606