abstract  introduction: ischemic heart diseases (ihd) is the major cause of mortality and morbidity worldwide. diabetes mellitus (dm) is known as one of the main risk factors of ihd. silent ischemia is seen in diabetic patients more that in others. identification of these cases is of great value in clinical practice. in this study, ecg changes and their relationship with clinical symptoms of is...

Cardiovascular disease (CAD) screening in asymptomatic patients with diabetes mellitus is controversial. An exercise stress test is a safe and effective initial testing for Ischemic Heart Disease (IHD) screening. Treadmill stress test is not the best screening method for a particular patient who is not able to exercise, abnormal electrocardiogram (ECG) or positive exercise treadmill test (ETT) ...

objective: the risk of cardiac death in diabetic patients is 3 times more than non-diabetics. but it is not determined who need cardiac screening. about 41% of diabetic patients with silent ischemia are missed. the carotid intima-media thickness (cimt) and ankel brachial index are two independent,simple and non invasive method in vascular complications diagnosis in diabetic patients.the aim of ...

OBJECTIVES We sought to evaluate the incidence of silent ischemia versus symptomatic ischemia six months after percutaneous coronary intervention (PCI) and its impact on prognosis and to test the utility of myocardial perfusion single-photon emission computed tomography (SPECT), or MPS, for risk stratification in these patients. BACKGROUND Silent ischemia is frequent after PCI. However, littl...

Myocardial ischemia can occur without overt symptoms. In fact, asymptomatic (or silent) ST-segment depression during ambulatory electrocardiogram monitoring occurs more often than symptomatic ST-segment depression in patients with coronary artery disease. Initial studies documented that silent ischemia provided independent prediction of adverse outcomes in patients with known and unknown corona...

cardiovascular disease (cad) screening in asymptomatic patients with diabetes mellitus is controversial. an exercise stress test is a safe and effective initial testing for ischemic heart disease (ihd) screening. treadmill stress test is not the best screening method for a particular patient who is not able to exercise, abnormal electrocardiogram (ecg) or positive exercise treadmill test (ett) ...

Myocardial ischemia which occurs in the absence of chest pain or its equivalents (silent myocardial ischemia) is common in patients with coronary artery disease. Silent myocardial ischemia may also be found in asymptomatic patients, particularly those with underlying risk factors. It is important for physicians to identify the existence of silent myocardial ischemia because it is predictive of ...