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  • Title: Prognostic implications of silent myocardial ischemia: prediction of events?
    Author: Winniford MD, Hillis LD.
    Journal: Cardiol Clin; 1986 Nov; 4(4):617-20. PubMed ID: 3779722.
    Abstract:
    In patients with stable and unstable angina pectoris, the occurrence of transient ST-T-wave alterations during ambulatory electrocardiographic monitoring is helpful in identifying a subgroup of patients who are especially likely to have severe atherosclerotic coronary artery disease and a guarded prognosis over the subsequent 1 to 12 months. Because the majority of these episodes are not accompanied by chest pain, it seems logical to conclude that recurrent episodes of silent myocardial ischemia signal a high likelihood of severe coronary artery disease and carry a poor short-term prognosis.
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