This book presents the papers given at the International Symposium on Silent Myocardial Ischemia held on 27 and 28 May 1983 in Geneva, Switzerland. The symposium was held under the auspices of the European Society of Car diology, and the scientific committee was recruited from members of the working groups on angina pectoris and coronary blood flow and on myocar dial function. The editors want to express many thanks to all those who contributed to the success of the symposium. W. Rutishauser H. Roskamm v List of Contributors R. Abbott Medical Center, School of Medicine, 720 Harrison Avenue, Boston, Massachusetts 02118, U.S.A. G. J. Anderson Heart Station, Likoff Cardiovascular Institute, Hahnemann University, School of Medicine, 230 N. Broad Street, Philadelphia, Pennsylvania 19102, U.S.A M. E. Bertrand Service de Cardiologie "B" et Hemodynamique, Hopital Cardiologique, 59037 Lille Cedex, France P. Betz Rehabilitationszentrum fur Herz- und Kreislaufkranke, Slidring 15, 7812 Bad Krozingen, FRG W. Bleifeld Abt. fur Kardiologie, II. Medizinische Klinik, Univ.-Krankenhaus Eppendorf, Martinistr. 52,2000 Hamburg 20, FRG D. A. Bragg-Remschel Texas Heart Institute, Texas Children's Hospital, P. O. Box 20269, Houston, Texas 77225, U.S.A. R. W Brower Thoraxcentrum/Cardiologie, Academisch Ziekenhuis, Dr. Molewaterplein 40,3015 GD Rotterdam, Netherlands E. J. Brown, Jr. Cardiology Division, Dept. of Medicine. Health Sciences Center, State University of New York, Stony Brook, New York 11794, U.S.A.

Clinical Problems Concerning Asymptomatic Coronary Artery Disease

Presence or Absence of Angina Pectoris During Myocardial Ischemia
Pain Measurement and Pain Modification by Naloxone in Patients with Asymptomatic Myocardial Ischemia
Left Ventricular Perfusion and Function During Transient Asymptomatic ST-Segment Changes
Ischemic Events During Coronary Artery Balloon Obstruction
Left Ventricular Hemodynamics, Regional Blood Flow, and Lactate Metabolism During Balloon Occlusion: Can we Alter the Sequence of Ischemic Events?
Regional Myocardial Blood Flow Under Rapid Atrial Pacing in Patients With ST-Segment Depression Without Anginal Pain
Detection of Silent Myocardial Ischemia in Correlation to Hemodynamic and Metabolic Data
Silent Myocardial Ischemia Deduced from Improved Left Ventricular Function After Coronary Angioplasty
Hemodynamic Sequence in Asymptomatic Exercise-Induced Ischemia
Contrast Ventriculography: Wall Motion Disorder Without Angina Pectoris During Exercise-Induced Ischemia
Exercise-Induced Abnormalities in Ventricular Function: Relationship to ST-Segment Shift and Symptoms
Thallium-201 Myocardial Scintigraphy and Electrocardiographic Findings in Asymptomatic Coronary Patients During Exercise Testing
Isotope Ventriculography During Asymptomatic Ischemia
Problems with ST-Segment Analysis in Ambulatory ECG Monitoring Systems
Holter Monitor Recordings in Patients with Asymptomatic Positive Exercise Thallium-201 Defects
Silent Myocardial Ischemia in Vasotonic Angina
Asymptomatic Myocardial Ischemia in Patients with Effort Angina
Study of the Early Electrophysiological Changes Resulting from Subendocardial Ischemia Using an Intracavitary Electrode Catheter
Incidence and Prognosis of Unrecognized Myocardial Infarction: Based on 26 Years Follow-up in the Framingham Study
Angiography in Patients with Silent Myocardial Infarction
Sudden Death in Patients with Asymptomatic Coronary Heart Disease
Vigorous Exercise and the Risk of Primary Cardiac Arrest
Follow-up of Patients with Asymptomatic Myocardial Ischemia
Long-term Follow-up of Patients With Positive Exercise Test Without Angina in a Referred Population
ST-Segment Depression During Exercise Without Angina Pectoris in Postinfarction Patients: Angiographic Findings and Prognostic Relevance
Recommendations for Medical Treatment of Asymptomatic Coronary Artery Disease
Aortocoronary Bypass Surgery in "Asymptomatic" Patients with Coronary Artery Disease
Proposal for a Randomized Study of Surgical Vs Medical Treatment in Patients with Asymptomatic Coronary Artery Disease
Closing Remarks.