Silent myocardial ischemia: 3 years' experience with Holter.

F de Pádua, M Fiuza, J Correia


The authors describe their experience concerning silent myocardial ischemia diagnosed by Holter monitoring technique, and present an update review about this issue. The new concepts of stunned and hibernated myocardium are analyzed, as well as the concepts of ischemic cascade, total ischemic burden and variable residual coronary reserve. Diagnostic methods and therapeutic decisions are also reviewed.

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