Silent myocardial ischemia: pathophysiology and perioperative management.
Silent ischemia has been called the silent killer. Pain does not kill patients with coronary heart disease--ischemia does, whether it happens to be painful or silent. An increased awareness of this still puzzling phenomenon may be of great importance in the pre- and perioperative management of patients with coronary heart disease, and improved detection and management of silent ischemia are likely to reduce the risk of perioperative cardiac events.
Hedman
A G
AG
Department of Medicine, Ludvika Hospital, Sweden.
D004562:Electrocardiography; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D009619:Nociceptors / Q000502:physiology; D010146:Pain / Q000503:physiopathology