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What is a median sternotomy?

What is"silent" myocardial infarction and who usually has it?

"Most patients with myocardial infarction (MI) present with severe clinical symptoms such as angina pectoris. If the patient has no symptoms or atypical symptoms, the MI may be categorised as ‘silent’. In some (but not all) cases, silent MI may be later identified and referred to as ‘unrecognised MI’. Unrecognised MI is a common and clinically significant event. "