Surgery considerations for people without chest pain who have had a heart attack

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Surgery considerations for people without chest pain who have had a heart attack

People who have had a heart attack but who do not have severe chest pain still may have large amounts of heart muscle at risk of reduced blood flow, which could make heart failure worse. Further testing is recommended for this group of people, beginning with noninvasive testing (thallium scanning).

Keep in mind, however, that there is currently some debate about whether surgery to restore blood flow (revascularization) increases the life span or the quality of life in people who do not have chest pain (angina) along with evidence of reduced blood flow.

Following a heart attack, some people have heart failure or a reduced ability to pump blood from the left ventricle of the heart (ejection fraction) without having symptoms of heart failure. Angiotensin-converting enzyme (ACE) inhibitors are the cornerstone of therapy for these people. ACE inhibitors reduce symptoms of heart failure, help prevent the development of heart failure (if no symptoms are present), may reduce the chance of further heart attacks, and improve survival rates.

Credits

Author	Robin Parks, MS
Editor	Kathleen M. Ariss, MS
Associate Editor	Pat Truman
Associate Editor	Terrina Vail
Primary Medical Reviewer	Caroline S. Rhoads, MD - Internal Medicine
Specialist Medical Reviewer	Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
Last Updated	September 1, 2006

Last updated:	September 01, 2006
Author:	Robin Parks, MS
Reviewed By:	Caroline S. Rhoads, MD - Internal Medicine, Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
Editors:	Kathleen M. Ariss, MS, Terrina Vail

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