Silently evolving acute myocardial infarction

Hippokratia 1998, 2(1):38-41

I. Kanonidis, N. Nikolaidis, B. Pavlidis, Th. Benis, A. Platis, M. Haldoupi, C. Papadopoulos


The cases of seven patients with silently evolving acute myocardial infarction are described. These patients were hospitalized in various departments of the Hospital for reasons unrelated to the cardiovascular system. The acute myocardial infarction was diagnosed on the basis of the electrocardiographic findings (ST elevation) which were performed in the context of the standard evaluation of the patients. The initial diagnosis was confirmed with enzyme elevation and the patients were treated in the Coronary Care Unit of the Department. In six out of the seven patients the evolution of the acute myocardial infarction was uneventful and the patients were discharged from the Hospital alive. A brief discussion of the cases with review of the literature is attempted.