Of 708 myocardial infarctions among 5127 participants in the Framingham Study, more than 25 per cent were discovered only through the appearance of new diagnostic evidence during routine biennial electrocardiographic examinations. Of these unrecognized infarctions almost half were "silent," and the others caused atypical symptoms. The proportion of all infarcts that were unrecognized was higher in women and in older men. Such infarcts were uncommon in persons with angina. Unrecognized infarctions were as likely as recognized ones to cause death, heart failure, or strokes. Recurrent infarctions were more common in women with recognized than with unrecognized infarcts, but this difference was not present in men. Recurrent infarctions were more likely to be recognized than were first infarctions. We conclude that unrecognized infarctions are common and have as serious a prognosis as recognized infarctions.
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[Abstract][Full Text]
Laukkanen, J. A., Makikallio, T. H., Rauramaa, R., Kurl, S.
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[Abstract][Full Text]
Kwong, R. Y.
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2: 45-47
[Full Text]
Camici, P. G
(2008). Coronary Microvascular Dysfunction in Patients with Cardiomyopathies. Circ Heart Fail
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[Full Text]
Ikram, M. A., van Oijen, M., de Jong, F. J., Kors, J. A., Koudstaal, P. J., Hofman, A., Witteman, J. C.M., Breteler, M. M.B.
(2008). Unrecognized Myocardial Infarction in Relation to Risk of Dementia and Cerebral Small Vessel Disease. Stroke
39: 1421-1426
[Abstract][Full Text]
Campbell, D. J.
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29: 835-836
[Full Text]
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117: 629-637
[Abstract][Full Text]
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[Full Text]
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116: e418-e500
[Full Text]
Owens, D. S., Plehn, J. F.
(2007). Recognizing Unrecognized Risk: The Evolving Role of Ventricular Functional Assessment in Population-Based Studies. Circulation
116: 126-130
[Full Text]
Cicala, S., de Simone, G., Roman, M. J., Best, L. G., Lee, E. T., Wang, W., Welty, T. K., Galloway, J. M., Howard, B. V., Devereux, R. B.
(2007). Prevalence and Prognostic Significance of Wall-Motion Abnormalities in Adults Without Clinically Recognized Cardiovascular Disease: The Strong Heart Study. Circulation
116: 143-150
[Abstract][Full Text]
Alexander, K. P., Newby, L. K., Cannon, C. P., Armstrong, P. W., Gibler, W. B., Rich, M. W., Van de Werf, F., White, H. D., Weaver, W. D., Naylor, M. D., Gore, J. M., Krumholz, H. M., Ohman, E. M.
(2007). Acute Coronary Care in the Elderly, Part I: Non-ST-Segment-Elevation Acute Coronary Syndromes: A Scientific Statement for Healthcare Professionals From the American Heart Association Council on Clinical Cardiology: In Collaboration With the Society of Geriatric Cardiology. Circulation
115: 2549-2569
[Abstract][Full Text]
Pilote, L., Dasgupta, K., Guru, V., Humphries, K. H., McGrath, J., Norris, C., Rabi, D., Tremblay, J., Alamian, A., Barnett, T., Cox, J., Ghali, W. A., Grace, S., Hamet, P., Ho, T., Kirkland, S., Lambert, M., Libersan, D., O'Loughlin, J., Paradis, G., Petrovich, M., Tagalakis, V.
(2007). A comprehensive view of sex-specific issues related to cardiovascular disease. CMAJ
176: S1-S44
[Abstract][Full Text]
Ikram, M. A., Hollander, M., Bos, M. J., Kors, J. A., Koudstaal, P. J., Hofman, A., Witteman, J.C.M., Breteler, M. M.B.
(2006). Unrecognized myocardial infarction and the risk of stroke: the Rotterdam Study.. Neurology
67: 1635-1639
[Abstract][Full Text]
Kwong, R. Y., Chan, A. K., Brown, K. A., Chan, C. W., Reynolds, H. G., Tsang, S., Davis, R. B.
(2006). Impact of Unrecognized Myocardial Scar Detected by Cardiac Magnetic Resonance Imaging on Event-Free Survival in Patients Presenting With Signs or Symptoms of Coronary Artery Disease. Circulation
113: 2733-2743
[Abstract][Full Text]
de Torbal, A., Boersma, E., Kors, J. A., van Herpen, G., Deckers, J. W., van der Kuip, D. A.M., Stricker, B. H., Hofman, A., Witteman, J. C.M.
(2006). Incidence of recognized and unrecognized myocardial infarction in men and women aged 55 and older: the Rotterdam Study. Eur Heart J
27: 729-736
[Abstract][Full Text]
Rautaharju, P. M., Kooperberg, C., Larson, J. C., LaCroix, A.
(2006). Electrocardiographic Abnormalities That Predict Coronary Heart Disease Events and Mortality in Postmenopausal Women: The Women's Health Initiative. Circulation
113: 473-480
[Abstract][Full Text]
Rautaharju, P. M., Kooperberg, C., Larson, J. C., LaCroix, A.
(2006). Electrocardiographic Predictors of Incident Congestive Heart Failure and All-Cause Mortality in Postmenopausal Women: The Women's Health Initiative. Circulation
113: 481-489
[Abstract][Full Text]
Guru, V., Fremes, S. E., Austin, P. C., Blackstone, E. H., Tu, J. V.
(2006). Gender Differences in Outcomes After Hospital Discharge From Coronary Artery Bypass Grafting. Circulation
113: 507-516
[Abstract][Full Text]
The Diabetes Control and Complications Trial/Epide,
(2005). Intensive Diabetes Treatment and Cardiovascular Disease in Patients with Type 1 Diabetes. NEJM
353: 2643-2653
[Abstract][Full Text]
Swap, C. J., Nagurney, J. T.
(2005). Value and Limitations of Chest Pain History in the Evaluation of Patients With Suspected Acute Coronary Syndromes. JAMA
294: 2623-2629
[Abstract][Full Text]
Tonne, C., Schwartz, J., Mittleman, M., Melly, S., Suh, H., Goldberg, R.
(2005). Long-Term Survival After Acute Myocardial Infarction Is Lower in More Deprived Neighborhoods. Circulation
111: 3063-3070
[Abstract][Full Text]
Cleland, J G F, Torabi, A, Khan, N K
(2005). Epidemiology and management of heart failure and left ventricular systolic dysfunction in the aftermath of a myocardial infarction. Heart
91: ii7-ii13
[Abstract][Full Text]
Finn, A. V., Palacios, I. F., Kastrati, A., Gold, H. K.
(2005). Drug-eluting stents for diabetes mellitus: A rush to judgment?. J Am Coll Cardiol
45: 479-483
[Abstract][Full Text]
Finn, A. V., Gold, H. K., Stone, G. W., Ellis, S. G., Cox, D. A., Hermiller, J., O'Shaughnessy, C., Mann, J. T., Turco, M., Caputo, R., Bergin, P., Greenberg, J., Popma, J. J., Russell, M. E.
(2004). One-Year Clinical Results With the Slow-Release, Polymer-Based, Paclitaxel-Eluting TAXUS Stent in Patients With Diabetes Mellitus * Response. Circulation
110: e318-e319
[Full Text]
Manolio, T. A., Boerwinkle, E., O'Donnell, C. J., Wilson, A. F.
(2004). Genetics of Ultrasonographic Carotid Atherosclerosis. Arterioscler. Thromb. Vasc. Bio.
24: 1567-1577
[Abstract][Full Text]
Brieger, D., Eagle, K. A., Goodman, S. G., Steg, P. G., Budaj, A., White, K., Montalescot, G.
(2004). Acute Coronary Syndromes Without Chest Pain, An Underdiagnosed and Undertreated High-Risk Group: Insights From The Global Registry of Acute Coronary Events. Chest
126: 461-469
[Abstract][Full Text]
Alizad, A., Fatemi, M., Whaley, D. H., Greenleaf, J. F.
(2004). Application of Vibro-acoustography for Detection of Calcified Arteries in Breast Tissue. J Ultrasound Med
23: 267-273
[Abstract][Full Text]
McSweeney, J. C., Cody, M., O'Sullivan, P., Elberson, K., Moser, D. K., Garvin, B. J.
(2003). Women's Early Warning Symptoms of Acute Myocardial Infarction. Circulation
108: 2619-2623
[Abstract][Full Text]
Gallo, L. C., Troxel, W. M., Kuller, L. H., Sutton-Tyrrell, K., Edmundowicz, D., Matthews, K. A.
(2003). Marital Status, Marital Quality, and Atherosclerotic Burden in Postmenopausal Women. Psychosom. Med.
65: 952-962
[Abstract][Full Text]
Mahrholdt, H., Wagner, A., Parker, M., Regenfus, M., Fieno, D. S., Bonow, R. O., Kim, R. J., Judd, R. M.
(2003). Relationship of contractile function to transmural extent of infarction in patients with chronic coronary artery disease. J Am Coll Cardiol
42: 505-512
[Abstract][Full Text]
Hense, H.-W., Schulte, H., Lowel, H., Assmann, G., Keil, U.
(2003). Framingham risk function overestimates risk of coronary heart disease in men and women from Germany--results from the MONICA Augsburg and the PROCAM cohorts. Eur Heart J
24: 937-945
[Abstract][Full Text]
Goraya, T. Y., Jacobsen, S. J., Kottke, T. E., Frye, R. L., Weston, S. A., Roger, V. L.
(2003). Coronary Heart Disease Death and Sudden Cardiac Death: A 20-Year Population-based Study. Am J Epidemiol
157: 763-770
[Abstract][Full Text]
Jones, D. J., Bromberger, J. T., Sutton-Tyrrell, K., Matthews, K. A.
(2003). Lifetime History of Depression and Carotid Atherosclerosis in Middle-aged Women. Arch Gen Psychiatry
60: 153-160
[Abstract][Full Text]
Hobbs, F. R., Erhardt, L.
(2002). Acceptance of guideline recommendations and perceived implementation of coronary heart disease prevention among primary care physicians in five European countries: the Reassessing European Attitudes about Cardiovascular Treatment (REACT) survey. Fam Pract
19: 596-604
[Abstract][Full Text]
Nass, C., Fleisher, L. A.
(2002). Diagnosing Perioperative Myocardial Infarction in Cardioth oracic and Vascular Surgery. SEMIN CARDIOTHORAC VASC ANESTH
6: 219-227
[Abstract]
Bacci, S., Russo, A., Rauseo, A., Fanelli, R., Trischitta, V.
(2002). The Role of Dobutamine Stress Echocardiography in Detecting Severe Coronary Artery Disease in Asymptomatic at High Risk Type 2 Diabetic Patients. Diabetes Care
25: 1659-1659
[Full Text]
Erhardt, L., Herlitz, J., Bossaert, L., Halinen, M., Keltai, M., Koster, R., Marcassa, C., Quinn, T., van Weert, H.
(2002). Task force on the management of chest pain. Eur Heart J
23: 1153-1176
[Full Text]
Snider, A., Papaleo, M., Beldner, S., Park, C., Katechis, D., Galinkin, D., Fein, A.
(2002). Is Telemetry Monitoring Necessary in Low-Risk Suspected Acute Chest Pain Syndromes?*. Chest
122: 517-523
[Abstract][Full Text]
Wong, C.-K., White, H.D.
(2002). Has the mortality rate from acute myocardial infarction fallen substantially in recent years?. Eur Heart J
23: 689-692
[Full Text]
Fleisher, L. A.
(2002). Preoperative Evaluation of the Patient With Hypertension. JAMA
287: 2043-2046
[Full Text]
Eckman, M. H., Singh, S. K., Erban, J. K., Kao, G.
(2002). Testing for Factor V Leiden in Patients with Pulmonary or Venous Thromboembolism: A Cost-Effectiveness Analysis. Med Decis Making
22: 108-124
[Abstract]
Mickley, H., Gill, S.
(2002). Is time the overriding factor in thrombolytic therapy?. Eur Heart J
23: 347-349
[Full Text]
Wong, C-K, White, H D
(2002). Recognising "painless" heart attacks. Heart
87: 3-5
[Full Text]
Agard, A, Hermeren, G, Herlitz, J
(2001). Patients' experiences of intervention trials on the treatment of myocardial infarction: is it time to adjust the informed consent procedure to the patient's capacity?. Heart
86: 632-637
[Abstract][Full Text]
Sheifer, S. E., Manolio, T. A., Gersh, B. J.
(2001). Unrecognized Myocardial Infarction. ANN INTERN MED
135: 801-811
[Abstract][Full Text]
Dorsch, M F, Lawrance, R A, Sapsford, R J, Durham, N, Oldham, J, Greenwood, D C, Jackson, B M, Morrell, C, Robinson, M B, Hall, A S
(2001). Poor prognosis of patients presenting with symptomatic myocardial infarction but without chest pain. Heart
86: 494-498
[Abstract][Full Text]
Gallo, L. C., Matthews, K. A., Kuller, L. H., Sutton-Tyrrell, K., Edmundowicz, D.
(2001). Educational Attainment and Coronary and Aortic Calcification in Postmenopausal Women. Psychosom. Med.
63: 925-935
[Abstract][Full Text]
Cleland, J.G.F., Thygesen, K., Uretsky, B.F., Armstrong, P., Horowitz, J.D., Massie, B., Packer, M., Poole-Wilson, P.A., Ryden, L., on behalf of the ATLAS investigators,
(2001). Cardiovascular critical event pathways for the progression of heart failure; a report from the ATLAS study. Eur Heart J
22: 1601-1612
[Abstract]
Laukkanen, J. A., Kurl, S., Lakka, T. A., Tuomainen, T.-P., Rauramaa, R., Salonen, R., Eranen, J., Salonen, J. T.
(2001). Exercise-induced silent myocardial ischemia and coronary morbidity and mortality in middle-aged men. J Am Coll Cardiol
38: 72-79
[Abstract][Full Text]
Shlipak, M. G., Elmouchi, D. A., Herrington, D. M., Lin, F., Grady, D., Hlatky, M. A., for the Heart and Estrogen/progestin Replacement S,
(2001). The Incidence of Unrecognized Myocardial Infarction in Women with Coronary Heart Disease. ANN INTERN MED
134: 1043-1047
[Abstract][Full Text]
Fitchett, D., Goodman, S., Langer, A.
(2001). New advances in the management of acute coronary syndromes: 1. Matching treatment to risk. CMAJ
164: 1309-1316
[Full Text]
Lee, D. P., Fearon, W. F., Froelicher, V. F.
(2001). Clinical Utility of the Exercise ECG in Patients With Diabetes and Chest Pain. Chest
119: 1576-1581
[Abstract][Full Text]
Witte, K., Thackray, S., Clark, A. L., Cooklin, M., Cleland, J. G.F.
(2000). Clinical trials update: IMPROVEMENT-HF, COPERNICUS, MUSTIC, ASPECT-II, APRICOT and HEART. Eur J Heart Fail
2: 455-460
[Abstract][Full Text]
Vaccarino, V., Berkman, L. F., Krumholz, H. M.
(2000). Long-term Outcome of Myocardial Infarction in Women and Men: A Population Perspective. Am J Epidemiol
152: 965-973
[Abstract][Full Text]
Lampe, F.C, Whincup, P.H, Wannamethee, S.G, Shaper, A.G, Walker, M, Ebrahim, S
(2000). The natural history of prevalent ischaemic heart disease in middle-aged men. Eur Heart J
21: 1052-1062
[Abstract]
Norris, R M
(2000). CORONARY DISEASE: The natural history of acute myocardial infarction. Heart
83: 726-726
[Full Text]
Mehta, R. H., Ruane, T. J., McCargar, P. A., Eagle, K. A., Stalhandske, E. J.
(2000). The Treatment of Elderly Diabetic Patients With Acute Myocardial Infarction: Insight From Michigan's Cooperative Cardiovascular Project. Arch Intern Med
160: 1301-1306
[Abstract][Full Text]
Andrews, J, French, J.K, Manda, S.O.M, White, H.D
(2000). New Q waves on the presenting electrocardiogram independently predict increased cardiac mortality following a first ST-elevation myocardial infarction. Eur Heart J
21: 647-653
[Abstract]
Guidry, U. C., Evans, J. C., Larson, M. G., Wilson, P. W. F., Murabito, J. M., Levy, D.
(1999). Temporal Trends in Event Rates After Q-Wave Myocardial Infarction : The Framingham Heart Study. Circulation
100: 2054-2059
[Abstract][Full Text]
Satre, H., Holmvang, L., Wagner, G.S., Lindahl, B., Wallentin, L.
(1999). Reduction of myocardial damage by prolonged treatment with subcutaneous low molecular weight heparin in unstable coronary artery disease. Eur Heart J
20: 645-652
[Abstract]
Newman, A. B., Shemanski, L., Manolio, T. A., Cushman, M., Mittelmark, M., Polak, J. F., Powe, N. R., Siscovick, D.
(1999). Ankle-Arm Index as a Predictor of Cardiovascular Disease and Mortality in the Cardiovascular Health Study. Arterioscler. Thromb. Vasc. Bio.
19: 538-545
[Abstract][Full Text]
Mendes de Leon, C. F., Krumholz, H. M., Seeman, T. S., Vaccarino, V., Williams, C. S., Kasl, S. V., Berkman, L. F.
(1998). Depression and Risk of Coronary Heart Disease in Elderly Men and Women: New Haven EPESE, 1982-1991. Arch Intern Med
158: 2341-2348
[Abstract][Full Text]
Panju, A. A., Hemmelgarn, B. R., Guyatt, G. H., Simel, D. L.
(1998). Is This Patient Having a Myocardial Infarction?. JAMA
280: 1256-1263
[Abstract][Full Text]
Crea, F., Gaspardone, A.
(1997). New Look to an Old Symptom: Angina Pectoris. Circulation
96: 3766-3773
[Abstract][Full Text]
Chaitman, B. R., Rosen, A. D., Williams, D. O., Bourassa, M. G., Aguirre, F. V., Pitt, B., Rautaharju, P. M., Rogers, W. J., Sharaf, B., Attubato, M., Hardison, R. M., Srivatsa, S., Kouchoukos, N. T., Stocke, K., Sopko, G., Detre, K., Frye, R.
(1997). Myocardial Infarction and Cardiac Mortality in the Bypass Angioplasty Revascularization Investigation (BARI) Randomized Trial. Circulation
96: 2162-2170
[Abstract][Full Text]
Sonke, G. S, Beaglehole, R., Stewart, A. W, Jackson, R., Stewart, F. M
(1996). Sex differences in case fatality before and after admission to hospital after acute cardiac events: analysis of community based coronary heart disease register. BMJ
313: 853-855
[Abstract][Full Text]
Chiariello, M., Indolfi, C.
(1996). Silent Myocardial Ischemia in Patients With Diabetes Mellitus. Circulation
93: 2089-2091
[Full Text]
Caracciolo, E. A., Chaitman, B. R., Forman, S. A., Stone, P. H., Bourassa, M. G., Sopko, G., Geller, N. L., Conti, C. R.
(1996). Diabetics With Coronary Disease Have a Prevalence of Asymptomatic Ischemia During Exercise Treadmill Testing and Ambulatory Ischemia Monitoring Similar to That of Nondiabetic Patients : An ACIP Database Study. Circulation
93: 2097-2105
[Abstract][Full Text]
Yabe, Y., Muramatsu, T., Nakano, H., Wagatsuma, K.
(1995). Efficacy and Issues of Emergent Percutaneous Transluminal Coronary Angioplasty: Comparison of Clinical Results in Younger and Elderly Patients. ANGIOLOGY
46: 1085-1095
[Abstract]
Kannel, W. B.
(1995). Clinical Misconceptions Dispelled by Epidemiological Research. Circulation
92: 3350-3360
[Abstract][Full Text]
Kuller, L.H., Shemanski, L., Psaty, B.M., Borhani, N.O., Gardin, J., Haan, M.N., O'Leary, D.H., Savage, P.J., Tell, G.S., Tracy, R.
(1995). Subclinical Disease as an Independent Risk Factor for Cardiovascular Disease. Circulation
92: 720-726
[Abstract][Full Text]
Col, N. F., Yarzebski, J., Gore, J. M., Alpert, J. S., Goldberg, R. J.
(1995). Does Aspirin Consumption Affect the Presentation or Severity of Acute Myocardial Infarction?. Arch Intern Med
155: 1386-1389
[Abstract]
Pratico, D., FitzGerald, G. A.
(1995). Testosterone and Thromboxane : Of Muscles, Mice, and Men. Circulation
91: 2694-2698
[Full Text]
Vaccarino, V., Krumholz, H. M., Berkman, L. F., Horwitz, R. I.
(1995). Sex Differences in Mortality After Myocardial Infarction : Is There Evidence for an Increased Risk for Women?. Circulation
91: 1861-1871
[Abstract][Full Text]
Lusiani, L., Perrone, A., Pesavento, R., Conte, G.
(1994). Prevalence, Clinical Features, and Acute Course of Atypical Myocardial Infarction. ANGIOLOGY
45: 49-55
[Abstract]
Hansen, O., Johansson, B. W., Gullberg, B.
(1993). The Clinical Outcome of Acute Myocardial Infarction Is Related to the Circadian Rhythm of Myocardial, lnfarction Onset. ANGIOLOGY
44: 509-516
[Abstract]
Berger, C. J., Murabito, J. M., Evans, J. C., Anderson, K. M., Levy, D.
(1992). Prognosis After First Myocardial Infarction: Comparison of Q-Wave and Non-Q-Wave Myocardial Infarction in the Framingham Heart Study. JAMA
268: 1545-1551
[Abstract]
Paraskos, J. A.
(1992). Who Needs a Preoperative Electrocardiogram?. Arch Intern Med
152: 261-263
[Abstract]
Gold, B. S., Young, M. L., Kinman, J. L., Kitz, D. S., Berlin, J., Schwartz, J. S.
(1992). The Utility of Preoperative Electrocardiograms in the Ambulatory Surgical Patient. Arch Intern Med
152: 301-305
[Abstract]
Deedwania, P. C., Carbajal, E. V.
(1991). Silent Myocardial Ischemia: A Clinical Perspective. Arch Intern Med
151: 2373-2382
[Abstract]
Miranda, C. P., Lehmann, K. G., Lachterman, B., Coodley, E. M., Froelicher, V. F.
(1991). Comparison of Silent and Symptomatic Ischemia during Exercise Testing in Men. ANN INTERN MED
114: 649-656
[Abstract]
Gurwitz, J. H., Goldberg, R. J., Gore, J. M.
(1991). Coronary Thrombolysis for the Elderly?. JAMA
265: 1720-1723
[Abstract]
Barsky, A. J., Hochstrasser, B., Coles, N.A., Zisfein, J., O'Donnell, C., Eagle, K. A,
(1990). Silent Myocardial Ischemia: Is the Person or the Event Silent?. JAMA
264: 1132-1135
[Abstract]
Eckman, M. H., Beshansky, J. R., Durand-Zaleski, I., Levine, H. J., Pauker, S. G.
(1990). Anticoagulation for Noncardiac Procedures in Patients With Prosthetic Heart Valves: Does Low Risk Mean High Cost?. JAMA
263: 1513-1521
[Abstract]
Sox, H. C. Jr., Garber, A. M., Littenberg, B.
(1989). The Resting Electrocardiogram as a Screening Test: A Clinical Analysis. ANN INTERN MED
111: 489-502
[Abstract]
Yano, K., MacLean, C. J.
(1989). The Incidence and Prognosis of Unrecognized Myocardial Infarction in the Honolulu, Hawaii, Heart Program. Arch Intern Med
149: 1528-1532
[Abstract]
Abbott, R. D., Donahue, R. P., Kannel, W. B., Wilson, P. W. F.
(1988). The Impact of Diabetes on Survival Following Myocardial Infarction in Men vs Women: The Framingham Study. JAMA
260: 3456-3460
[Abstract]
Everitt, D. E.
(1988). Myocardial Infarction in the Elderly: Does Advanced Age Impact on Survival?: Everitt DE. Myocardial infarction in the elderly: does advanced age impact on survival? J Intensive Care Med 1988;3:243-244. J Intensive Care Med
3: 243-244
Nabel, E. G., Rocco, M. B., Barry, J., Campbell, S., Selwyn, A. P.
(1987). Asymptomatic Ischemia in Patients With Coronary Artery Disease. JAMA
257: 1923-1928
[Abstract]
Hong, R. A., Bhandari, A. K., McKay, C. R., Au, P. K., Rahimtoola, S. H.
(1987). Life-Threatening Ventricular Tachycardia and Fibrillation Induced by Painless Myocardial Ischemia During Exercise Testing. JAMA
257: 1937-1940
[Abstract]
Neill, K. M.
(1987). A Review of Atypical Clinical Manifestations of Acute Myocardial Infarction. J Intensive Care Med
2: 25-32
[Abstract]
GOLDBERGER, A. L., O'KONSKI, M.
(1986). Diagnostic Decision: Utility of the Routine Electrocardiogram Before Surgery and on General Hospital Admission * Critical Review and New Guidelines. ANN INTERN MED
105: 552-557
[Abstract]
LEE, T. H., GOLDMAN, L.
(1986). Serum Enzyme Assays in the Diagnosis of Acute Myocardial InfarctionRecommendations Based on a Quantitative Analysis. ANN INTERN MED
105: 221-233
[Abstract]
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