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Case Report
A 40-year-old male with diabetes and limb threatening ischemia
1 Research Assistant, School of Kinesiology and Health Studies, Queen’s University, Kingston, ON, Canada
2 Medical Student, School of Medicine, Tufts University, Boston, MA, USA
3 Lecturer, Department of Medicine, University of Toronto, Toronto, ON, Canada
Address correspondence to:
Magdy Elkhashab
MD, MSc, FRCPC, University of Toronto, 1664 Dufferin Street, 2nd Floor, Toronto, Ontario, M6H 3M1,
Canada
Message to Corresponding Author
Article ID: 100981Z01KD2018
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D’Urzo KA, Maleki-Yazdi K, Elkhashab M. A 40-yearold male with diabetes and limb threatening ischemia. Int J Case Rep Images 2018;9:100981Z01KD2018.ABSTRACT
Introduction: Silent myocardial ischemia is defined as documented ischemia in the absence of typical angina or its equivalents and is more common in individuals with diabetes. Type I SMI, the least common form (2.5–10% of middle aged men), occurs in asymptomatic patients with obstructive coronary artery disease who do not experience angina symptoms at any time.
Case Report: This case describes silent myocardial ischemia Type I in a young, 40-year-old male with diabetes, severe peripheral vascular disease of the lower limb and advanced occlusive coronary artery disease without a history compatible with angina.
Conclusion: Improving clinician awareness of silent myocardial ischemia in high-risk populations represents an important opportunity to reduce adverse cardiovascular events and death rates.
Keywords: Diabetes, Early detection, Primary care, Silent myocardial ischemia
SUPPORTING INFORMATION
Author Contributions
Katrina Antoinette D’Urzo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Keon Maleki-Yazdi - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Magdy Elkhashab - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Katrina Antoinette D’Urzo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
