[Ischemic heart disease without anginal pain].
Prolonged ECG-recording with Holter's technique facilitated detection of heart ischemic episodes without accompanying anginal pain. It is estimated that ischemic heart disease without anginal pain involves about 20% of all patients with IHD, and the episodes of heart ischemia with and without anginal pain occur in 30% of these patients. A course of ischemic heart disease without anginal pain may be due to decreased sensitivity to pain stimuli caused by the lesions to sensory afferent nerves or by the increased serum endorphins. The majority of experiments has shown that asymptomatic ischemic heart disease increases the risk of sudden death. It may be explained by increased physical exercise attempted by these patients and not compliance with anti-sclerotic therapeutical and preventive measures. The treatment of asymptomatic ischemic heart disease is similar to that in symptomatic froms of this diseases.
Moszczyńska
J
J
Negrusz-Kawecka
M
M
D000787:Angina Pectoris / Q000209:etiology / Q000503:physiopathology*; D015716:Electrocardiography, Ambulatory; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications / Q000175:diagnosis*
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