Dr. Rami Hamed Medical Blog

What is a Silent Heart Attack or Silent Myocardial Infarction?

Written by Dr. Adib Nanaa | 22-Jun-2019 05:28:41

Did you hear about Silent heart attack or Silent myocardial infarctions?

It represents between 22-64% of all myocardial infarctions.

It can happen without chest pain,  and some times with atypical symptoms such as palpitation.

They are more common in the:

  • Elderly,
  • Diabetic patient,
  • Women,
  • Immediately after surgery,
  • In critically ill patients,

After heart transplantation the explanation here the donor heart is not fully innervated by the nervous system of the recipient.

How do you know the heart attack was happened?

  • By doing ECG and Echocardiography we see ECG changes such as Q wave and ST elevation and motion abnormalities by echo
  • Confirmed by Coronary angiogram which shows the narrowing or blockage of the artery in the infarcted area.

Know more about ischemic heart disease