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silent myocardial infarction (silent MI)
Epidemiology:
- more common than symtomatic MI in black women
- less common than symtomatic MI in white men
- as common as symptomatic MI is black men & white women [1]
Pathology:
- pathologic Q-waves without history of acute coronary syndrome
Complications:
- associated with increased risk form cardiovascular mortality & all-cause mortality [1,3]
- increased risk for heart failure [2]
General
myocardial infarction (MI); heart attack
References
- Zhang ZM et al
Race and sex differences in the incidence and prognostic
significance of silent myocardial infarction in the
Atherosclerosis Risk in Communities (ARIC) study.
Circulation 2016 May 31; 133:2141
PMID: 27185168
http://circ.ahajournals.org/content/133/22/2141
- Qureshi WT, Zhang ZM, Chang PP et al.
Silent myocardial infarction and long-term risk of heart
failure: The ARIC study.
J Am Coll Cardiol 2018 Jan 2; 71:1.
PMID: 29301615
http://www.sciencedirect.com/science/article/pii/S0735109717414380
- Gibson CM, Nafee T, Kerneis M.
Silent myocardial infarction: Listen to the evidence.
J Am Coll Cardiol 2018 Jan 2; 71:9.
PMID: 29301632
http://www.sciencedirect.com/science/article/pii/S073510971741432X
- Acharya T, Aspelund T, Jonasson TF et al
Association of Unrecognized Myocardial Infarction With Long-term
Outcomes in Community-Dwelling Older AdultsThe ICELAND MI Study.
JAMA Cardiol. Published online October 10, 2018.
PMID: 30304454
https://jamanetwork.com/journals/jamacardiology/fullarticle/2705678
- Bonow RO
Unrecognized Myocardial Infarction and Unrecognized Cardiovascular Risk.
JAMA Cardiol. Published online October 10, 2018
PMID: 30304384
https://jamanetwork.com/journals/jamacardiology/fullarticle/2705679