Silent myocardial ischemia: Current perspectives and future directions |
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| Authors: | Amany H Ahmed KJ Shankar Hossein Eftekhari MS Munir Jillian Robertson Alan Brewer Igor V Stupin S Ward Casscells |
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| Affiliation: | 1.Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, Texas;;2.St Luke’s Roosevelt Medical Center, New York, New York;;3.University of Houston;;4.University of Texas Health Science Center, Houston, Texas, USA |
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| Abstract: | Silent myocardial ischemia (SMI) is increasingly being recognized as part of the spectrum of ischemic heart disease. The spectrum of SMI ranges from asymptomatic coronary artery disease to critical illness necessitating intensive care. Although many diagnostic tools have been used to identify low- and high-risk subgroups, their use is limited by modest sensitivities and specificities. The present review identifies current concepts in the management of SMI in various clinical settings, as well as emerging technologies that may simplify the diagnosis and treatment of this condition. |
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| Keywords: | Continuous monitoring Coronary artery disease Silent myocardial ischemia |
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