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Titolo:
EPIDEMIOLOGY OF SILENT-MYOCARDIAL-ISCHEMIA IN ASYMPTOMATIC MIDDLE-AGED MEN (THE ECCIS PROJECT)
Autore:
FAZZINI PF; PRATI PL; ROVELLI F; ANTONIUCCI D; MENGHINI F; SECCARECCIA F; MENOTTI A;
Indirizzi:
OSPED CAREGGI,DIV CARDIOL,VIALE MORGAGNI I-50134 FLORENCE ITALY OSPED S EUGENIO,DIV CARDIOL ROME ITALY IST SUPER SANITA,EPIDEMIOL & BIOSTAT LAB I-00161 ROME ITALY OSPED MAGGIORE CA GRANDA,DEPT CARDIOL MILAN ITALY OSPED S CAMILLO ROMA,DIV CARDIOL A ROME ITALY
Titolo Testata:
The American journal of cardiology
fascicolo: 18, volume: 72, anno: 1993,
pagine: 1383 - 1388
SICI:
0002-9149(1993)72:18<1383:EOSIAM>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; ANGIOGRAPHIC FINDINGS; PATHO-PHYSIOLOGY; FOLLOW-UP; INFARCTION; ANGINA; FRAMINGHAM; MORTALITY; HEART;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
P.F. Fazzini et al., "EPIDEMIOLOGY OF SILENT-MYOCARDIAL-ISCHEMIA IN ASYMPTOMATIC MIDDLE-AGED MEN (THE ECCIS PROJECT)", The American journal of cardiology, 72(18), 1993, pp. 1383-1388

Abstract

To evaluate the prevalence of type I silent myocardial ischemia and silent myocardial infarction, 4,842 men aged 40 to 59 years, identifiedin occupational samples in Florence and Rome, and free from major heart disease, severe illnesses and chest pain, underwent a 3-stage diagnostic procedure. The first stage included resting electrocardiogram, hyperventilation test, exercise electrocardiogram and 24-hour Holter electrocardiogram. The subjects who were suspected of having type 1 silent myocardial ischemia or previous silent infarction at the first stage (n = 439; 9.1%) were entered into the second stage, which included echocardiogram, thallium 201 scintigraphy in conjunction with exercise testing or dipyridamole test, exercise radionuclide ventriculography and ergonovine test. Three hundred eighty-seven men participated in thesecond stage; after the diagnostic procedures were performed, 104 men(2.1%) were still suspected of having type 1 silent myocardial ischemia or infarction on the basis of predefined criteria. Sixty-two men continued on into the third diagnostic workup including coronary angiography. The final diagnosis of type 1 silent myocardial ischemia or infarction was reached in 25 patients (prevalence 0.52%; adjusted estimate0.89%). Of these 25, 19 had coronary atherosclerotic disease, 1 had Kawasaki disease, 1 had coronary anomaly, 1 had induced focal coronary spasm, and 2 had normal coronary arteriograms despite the presence of unquestionable old myocardial infarction. Altogether, 6 patients with silent myocardial infarction were identified. The coronary profile, based on the measurement of a number of coronary risk factors, was definitely worse in the 25 subjects with type 1 silent myocardial ischemia or previous silent infarction than in the other subjects.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 10:50:29