Asian Journal of Research in Cardiovascular Diseases

A Silent Myocardial Infarction at Diabetic Outpatient Clinic: Tertiary Hospital Setting

Febyan . *

Department of Medicine, Bhayangkara Hospital, Denpasar, Bali, Indonesia.

I. Kadek Susila Darma

Department of Cardiology and Vascular, Bhayangkara Hospital, Denpasar, Bali, Indonesia.

I. Made Suwidnya

Department of Internal Medicine, Bhayangkara Hospital, Denpasar, Bali, Indonesia.

*Author to whom correspondence should be addressed.

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Abstract

A silent myocardial infarction (SMI) is a rare phenomenon. It occurs when the patient has many comorbidities, one of which is diabetes mellitus (DM). The underlying pathology is cardiac autonomic neuropathy (CAN), which is a serious and common complication of diabetes. We presented a unique case of a patient with asymptomatic myocardial infarction with bradycardia and DM on medication. We aim to emphasize the importance of diagnostic screening for diabetic patients using electrocardiography serials to provide adequate and prompt management of SMI and prevent further complications caused by myocardial infarction events.

Keywords: Myocardial infarction, diabetes mellitus, acute coronary syndrome, STEMI

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