Grauer K
University of Florida College of Medicine, Gainesville.
Am Fam Physician. 1990 Nov;42(5 Suppl):13S-16S, 21S-28S.
Developing an optimal strategy for the evaluation and management of patients with silent myocardial ischemia is extremely difficult. Although otherwise healthy, asymptomatic individuals may be at risk of dying suddenly during exercise, neither exercise testing nor Holter monitoring reliably identifies those at greatest risk. In patients with underlying coronary artery disease, silent ischemia increases the risk of an adverse outcome.
为无症状心肌缺血患者制定最佳评估和管理策略极具挑战性。尽管表面健康，但无症状个体在运动过程中可能有猝死风险，运动试验和动态心电图监测都无法可靠地识别出风险最高的个体。对于患有潜在冠状动脉疾病的患者，无症状性缺血会增加不良后果的风险。
