[Therapy of silent ischemia].

Treatment of silent ischemia is still controversial, because of the lack of studies showing improvement of prognosis with therapy. However, silent ischemia is an independent predictor of poor prognosis. Therefore significant ischemia has to be investigated to determine the therapeutic strategies as for patients with angina pectoris. The medical therapy has been reported successful with nitrates, beta-blockers and calcium canal blockers. The same applies for surgical therapy and PTCA. The target has to be to reduce myocardial ischemia and to ameliorate the prognosis.