50 patients with diabetes were compared with 20 non-diabetic subjects, with respect to the prevalence of silent myocardial ischemia, by means of treadmill exercise testing. Results of treadmill exercise testing showed ischemia in 14 of the 50 diabetic patients (mean age 49.2 * 1.3) and in 2 of 20 non-diabetic control subjects (mean age 49 * 6 y.) (28%VS lo%, P < 0.05). Diabetics with “positive ...

Dear Editor, We have greatly enjoyed reading the article by Giglioli, et al.1 entitled “Cryptogenic Myocardial Infarction in Young Patients: Which is the Optimal Diagnostic and Therapeutic Management?”, which was published in the previous issue of Archives of Iranian Medicine. The authors1 presented a case of young male patient with a previous cryptogenic myocardial infarction (MI) and multiple...

BACKGROUND Transmyocardial and percutaneous laser revascularization (TMR, PTMR) may reduce angina and increase exercise tolerance in otherwise untreatable angina patients, although the mechanism is unknown and the placebo effect may be significant. One other proposed mechanism is cardiac denervation leading to silent ischemia. METHODS Electrocardiograms obtained during symptom-limited exercis...

Percutaneous coronary intervention (PCI) using balloon angioplasty with stenting has become a mainstay in the treatment of patients with coronary artery disease (CAD). Over one million PCI procedures were performed in the U.S. alone in 2000, nearly one-half of which involved placement of a coronary stent (1). This number is expected to increase as more revascularization procedures that were pre...