[india-drug] MI or STROKE? A Query (6)

["Pipasha Biswas" <b_pipasha@yahoo.co.uk>]

MI or STROKE? A Query (6)
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Dear Dr Bashaar,

Silent MI (SMI) is more frequent in patients with diabetes than in nondiabetic subjects (probably because of diabetic neuropathy). SMI has a reported prevalence ranging from 10 to 20% in diabetic populations versus from 1 to 4% in nondiabetic populations. There is no single definition of SMI because some authors include patients without clinical symptoms but with a resting electrocardiogram (ECG) that indicates a previous infarction or angina pectoris, some authors include patients with atypical clinical symptoms, and some authors restrict SMI to patients without any symptoms and with positive functional testing or angiographically documented CAD. In fact, by allowing early treatment, screening for SMI could lower the death rate from CAD in diabetic subjects.

I hope this is of help.

Dr Pipasha Biswas
MD MPM DM
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