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Vonny
03-02-2009, 06:27 PM
Can anyone tell me why a person with diabetes who is having a heart attack may not present with the classic crushing chest pain.

I can not find an explanation as to why a diabetic patient would have a silent heart attack.
Thanks for your help on this.

VentMedic
03-02-2009, 06:40 PM
Great source of info:
http://care.diabetesjournals.org/

Several articles with just a quick search:
multiple articles from the journal
http://care.diabetesjournals.org/cgi/search?sortspec=relevance&author1=&fulltext=silent+myocardial+ischemia&pubdate_year=&volume=&firstpage=

Diabetic Neuropathies
http://care.diabetesjournals.org/cgi/content/short/28/4/956

Predictive Value of Cardiac Autonomic Neuropathy in Diabetic Patients With or Without Silent Myocardial Ischemia

http://care.diabetesjournals.org/cgi/content/abstract/24/2/339

Assessment of cardiac sympathetic denervation and its relation to autonomic dysfunction and silent myocardial ischemia

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T18-3YF4CBH-5N&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=9ad27fd00e430ceaee990e31117ea0df

Silent myocardial ischemia: role of subclinical neuropathy in patients with and without diabetes

http://content.onlinejacc.org/cgi/content/abstract/22/5/1433

Vonny
03-02-2009, 06:53 PM
Thanks Ventmedic ^_^
I will delve into these sites.