What is Silent Ischaemic Heart Disease?
Sometimes it may happen that you have gone to a doctor for routine heart checkup but you do not have any chest pain or previous history of heart disease and after doing ECG your doctor tells you that you are having heart disease. Sometimes ECG may be done for other reasons like preoperative risk stratification or to fillup insurance company protocol or preemployment check up or during annual confidential report time and it is found that your ECG is abnormal. If you do not have any chest symptoms but your ECG reveals abnormality, you must have a thorough cardiac check up. If you do not have chest pain it does not mean that you can not have block in your coronary artery. Some people inspite of having block in heart circulation do not have chest pain. This means that you have disease but your “warning system” is defective. Silent ischaemia is one of the causes of sudden death. Why some patient get severe pain and other do not is not well recognised. But probably it is due to the variabili
