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Silent Myocardial Infarction: A Case Report
Silent myocardial infarction (SMI) is a type of myocardial infarction (MI) that is asymptomatic or demonstrates mild symptoms; therefore, patients often do not seek medical treatment. SMI cases are often incidentally detected later by electrocardiogram (ECG). We present a case of a 59-year-old overw...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449231/ https://www.ncbi.nlm.nih.gov/pubmed/37638270 http://dx.doi.org/10.7759/cureus.43906 |
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author | Kolesova, Maria V Minor, Suzanne |
author_facet | Kolesova, Maria V Minor, Suzanne |
author_sort | Kolesova, Maria V |
collection | PubMed |
description | Silent myocardial infarction (SMI) is a type of myocardial infarction (MI) that is asymptomatic or demonstrates mild symptoms; therefore, patients often do not seek medical treatment. SMI cases are often incidentally detected later by electrocardiogram (ECG). We present a case of a 59-year-old overweight woman with prediabetes, primary hypertension, and hypercholesterolemia who presented for herpes zoster (HZ) follow-up; she reported having skipped heartbeats and heart rate fluctuations during the review of systems. On further workup, ECG revealed low voltage QRS complexes, flat QRS complexes, flat T waves, and pathological Q waves, suggesting the diagnosis of SMI. Based on the identified risk factors, including high BMI, prediabetes, primary hypertension, hypercholesterolemia, HZ, and newly diagnosed SMI, the patient was advised to continue with lisinopril 20 mg daily, prescribed atorvastatin 80 mg daily, and was educated about maintaining a healthy diet, exercise, and receiving the shingles vaccination. To prevent the possible risks of poor outcomes such as those following MI, stroke, heart failure, arrhythmias, angina, and shortness of breath (SOB), the patient was referred to the cardiologist for a stress test and further treatment plan. |
format | Online Article Text |
id | pubmed-10449231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104492312023-08-25 Silent Myocardial Infarction: A Case Report Kolesova, Maria V Minor, Suzanne Cureus Cardiology Silent myocardial infarction (SMI) is a type of myocardial infarction (MI) that is asymptomatic or demonstrates mild symptoms; therefore, patients often do not seek medical treatment. SMI cases are often incidentally detected later by electrocardiogram (ECG). We present a case of a 59-year-old overweight woman with prediabetes, primary hypertension, and hypercholesterolemia who presented for herpes zoster (HZ) follow-up; she reported having skipped heartbeats and heart rate fluctuations during the review of systems. On further workup, ECG revealed low voltage QRS complexes, flat QRS complexes, flat T waves, and pathological Q waves, suggesting the diagnosis of SMI. Based on the identified risk factors, including high BMI, prediabetes, primary hypertension, hypercholesterolemia, HZ, and newly diagnosed SMI, the patient was advised to continue with lisinopril 20 mg daily, prescribed atorvastatin 80 mg daily, and was educated about maintaining a healthy diet, exercise, and receiving the shingles vaccination. To prevent the possible risks of poor outcomes such as those following MI, stroke, heart failure, arrhythmias, angina, and shortness of breath (SOB), the patient was referred to the cardiologist for a stress test and further treatment plan. Cureus 2023-08-22 /pmc/articles/PMC10449231/ /pubmed/37638270 http://dx.doi.org/10.7759/cureus.43906 Text en Copyright © 2023, Kolesova et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Kolesova, Maria V Minor, Suzanne Silent Myocardial Infarction: A Case Report |
title | Silent Myocardial Infarction: A Case Report |
title_full | Silent Myocardial Infarction: A Case Report |
title_fullStr | Silent Myocardial Infarction: A Case Report |
title_full_unstemmed | Silent Myocardial Infarction: A Case Report |
title_short | Silent Myocardial Infarction: A Case Report |
title_sort | silent myocardial infarction: a case report |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449231/ https://www.ncbi.nlm.nih.gov/pubmed/37638270 http://dx.doi.org/10.7759/cureus.43906 |
work_keys_str_mv | AT kolesovamariav silentmyocardialinfarctionacasereport AT minorsuzanne silentmyocardialinfarctionacasereport |