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Silent MI found in 17% of postmenopausal women: are routine ECG exams needed?(Clinical Rounds)

OB GYN News

| January 01, 2004 | Zoler, Mitchel L. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ORLANDO, FLA. -- More than 17% of postmenopausal women have a moderate or high likelihood of having silent myocardial infarction, based on findings from more than 60,000 women who participated in the Women's Health Initiative.

This high prevalence of silent myocardial infarction (MI) in asymptomatic women that can be detected only with an ECG suggests that it's important to get an ECG recording for all postmenopausal women, Dr. Kiran Sagar said while presenting a poster at the annual scientific sessions of the American Heart Association.

The study included 60,438 women aged 50-79 years with no symptoms of coronary disease when they entered the study. All women had a 12-lead ECG examination at baseline. The results were then categorized as low-, moderate-, or high-risk for a silent MI ...

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