Prevalence and prognostic significance of silent myocardial ischaemia detected by exercise test and continuous ECG monitoring after acute myocardial infarction

The incidence and prognostic significance of silent myocardial ischaemia in 165 patients who survived a first acute myocardial infarction were assessed by means of maximal exercise stress test and 24 h continuous ECG monitoring performed before discharge. During the 1 year follow-up period 10 cardia...

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Bibliographic Details
Published in:European heart journal 1991-02, Vol.12 (2), p.186-193
Main Authors: BONADUCE, D., PETRETTA, M., LANZILLO, T., VlTAGLIANO, G., BlANCHI, V., CONFORTI, G., MORGANO, G., ARRICHIELLO, P.
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Adult
Aged
Angina, Unstable - diagnosis
Angina, Unstable - mortality
Arrhythmias, Cardiac - diagnosis
Arrhythmias, Cardiac - mortality
Biological and medical sciences
Cardiology. Vascular system
continuous ECG monitoring
Coronary Disease - diagnosis
Coronary Disease - mortality
Coronary heart disease
Electrocardiography, Ambulatory
exercise stress test
Exercise Test
Female
Follow-Up Studies
Heart
Humans
Male
Medical sciences
Middle Aged
Myocardial Infarction - diagnosis
Myocardial Infarction - mortality
Survival Rate
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Summary:The incidence and prognostic significance of silent myocardial ischaemia in 165 patients who survived a first acute myocardial infarction were assessed by means of maximal exercise stress test and 24 h continuous ECG monitoring performed before discharge. During the 1 year follow-up period 10 cardiac deaths occurred; moreover seven patients suffered a fatal myocardial re-infarction and 14 developed unstable angina. Cardiac death occurred in five of 40 patients (12.5%) with ST segment depression on stress test by in only three of 117 (2.6%) without ST segment changes (P
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a059867