{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T18:54:16Z","timestamp":1781463256700,"version":"3.54.1"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart Lung and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201700001I"],"award-info":[{"award-number":["HHSN268201700001I"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["HHSN268201700003I"],"award-info":[{"award-number":["HHSN268201700003I"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["HHSN268201700005I"],"award-info":[{"award-number":["HHSN268201700005I"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["HHSN268201700002I"],"award-info":[{"award-number":["HHSN268201700002I"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["2U01HL096917"],"award-info":[{"award-number":["2U01HL096917"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["HHSN268201700004I"],"award-info":[{"award-number":["HHSN268201700004I"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["2U01HL096899"],"award-info":[{"award-number":["2U01HL096899"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["2U01HL096902"],"award-info":[{"award-number":["2U01HL096902"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["2U01HL096814"],"award-info":[{"award-number":["2U01HL096814"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["U01 2U01HL096812"],"award-info":[{"award-number":["U01 2U01HL096812"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["HHSN268201700001I"],"award-info":[{"award-number":["HHSN268201700001I"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01-HL70825"],"award-info":[{"award-number":["R01-HL70825"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01-HL134320"],"award-info":[{"award-number":["R01-HL134320"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Electrocardiology"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.jelectrocard.2025.154174","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T23:13:37Z","timestamp":1765062817000},"page":"154174","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Electrocardiographic criteria for silent myocardial infarction: Impact of different definitions on detection rates and prognostic significance in the atherosclerosis risk in communities (ARIC) study: A comparison with evolving bundle branch blocks"],"prefix":"10.1016","volume":"94","author":[{"given":"R. Brandon","family":"Stacey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald J.","family":"Prineas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhu-Ming","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce M.","family":"Psaty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Rosamond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Wagenknecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsayed Z.","family":"Soliman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jelectrocard.2025.154174_bb0005","doi-asserted-by":"crossref","first-page":"e153","DOI":"10.1161\/CIR.0000000000001052","article-title":"Heart disease and stroke Statistics-2022 update: a report from the American Heart Association","volume":"145","author":"Tsao","year":"2022","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0010","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1161\/CIR.0b013e31826e1058","article-title":"Third universal definition of myocardial infarction","volume":"126","author":"Thygesen","year":"2012","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0015","doi-asserted-by":"crossref","first-page":"e618","DOI":"10.1161\/CIR.0000000000000617","article-title":"Fourth universal definition of myocardial infarction (2018)","volume":"138","author":"Thygesen","year":"2018","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0020","doi-asserted-by":"crossref","first-page":"2543","DOI":"10.1161\/01.CIR.0000100560.46946.EA","volume":"108","author":"Luepker","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0025","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jacc.2017.10.069","article-title":"Silent myocardial infarction: listen to the evidence","volume":"71","author":"Gibson","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0002-9149(73)80079-7","article-title":"Clinical features of unrecognized myocardial infarction--silent and symptomatic. Eighteen year follow-up: the Framingham study","volume":"32","author":"Margolis","year":"1973","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0035","doi-asserted-by":"crossref","first-page":"2141","DOI":"10.1161\/CIRCULATIONAHA.115.021177","article-title":"Race and sex differences in the incidence and prognostic significance of silent myocardial infarction in the atherosclerosis risk in communities (ARIC) study","volume":"133","author":"Zhang","year":"2016","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0040","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1016\/j.amjcard.2012.11.042","article-title":"Prevalence, consequences, and implications for clinical trials of unrecognized myocardial infarction","volume":"111","author":"Pride","year":"2013","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0045","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/S0735-1097(99)00524-0","article-title":"Prevalence, predisposing factors, and prognosis of clinically unrecognized myocardial infarction in the elderly","volume":"35","author":"Sheifer","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0050","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.acvd.2010.11.013","article-title":"Prevalence, incidence, predictive factors and prognosis of silent myocardial infarction: a review of the literature","volume":"104","author":"Valensi","year":"2011","journal-title":"Arch Cardiovasc Dis"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0055","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1056\/NEJM198411013111802","article-title":"Incidence and prognosis of unrecognized myocardial infarction. An update on the Framingham study","volume":"311","author":"Kannel","year":"1984","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0060","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/0002-9149(90)90477-I","article-title":"Prevalence, incidence and prognosis of recognized and unrecognized myocardial infarction in persons aged 75 years or older: the Bronx aging study","volume":"66","author":"Nadelmann","year":"1990","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0065","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/S0002-9149(02)02655-3","article-title":"Occurrence of unrecognized myocardial infarction in subjects aged 45 to 65 years (the ARIC study)","volume":"90","author":"Boland","year":"2002","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0070","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2017.10.071","article-title":"Silent myocardial infarction and long-term risk of heart failure: the ARIC study","volume":"71","author":"Qureshi","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0075","doi-asserted-by":"crossref","first-page":"e436","DOI":"10.1212\/WNL.0000000000012249","article-title":"Silent myocardial infarction and subsequent ischemic stroke in the cardiovascular health study","volume":"97","author":"Merkler","year":"2021","journal-title":"Neurology"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0080","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/S0002-9149(97)00307-X","article-title":"Prognostic associations of Minnesota code serial electrocardiographic change classification with coronary heart disease mortality in the multiple risk factor intervention trial","volume":"80","author":"Crow","year":"1997","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0085","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1001\/jamacardio.2019.2210","article-title":"Association of Silent Myocardial Infarction and Sudden Cardiac Death","volume":"4","author":"V\u00e4h\u00e4talo","year":"2019","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0090","first-page":"1458","article-title":"Unrecognised myocardial infarction and long-term risk of heart failure in the elderly: the Rotterdam study","volume":"96","author":"Leening","year":"2010","journal-title":"Heart (British Cardiac Society)"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0095","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1161\/CIRCULATIONAHA.112.000908","article-title":"Prognostic significance of silent myocardial infarction in newly diagnosed type 2 diabetes mellitus: United Kingdom prospective diabetes study (UKPDS) 79","volume":"127","author":"Davis","year":"2013","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0100","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1177\/1741826711426091","article-title":"Prognostic significance of serial Q\/ST-T changes by the Minnesota code and Novacode in the atherosclerosis risk in communities (ARIC) study","volume":"19","author":"Zhang","year":"2012","journal-title":"Eur J Prev Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0105","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1016\/j.amjcard.2007.06.036","article-title":"Electrocardiographic predictors of new-onset heart failure in men and in women free of coronary heart disease (from the atherosclerosis in communities [ARIC] study)","volume":"100","author":"Rautaharju","year":"2007","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0110","article-title":"Prevalence and clinical aspects of unrecognized myocardial infarction and sudden unexpected death","volume":"75","author":"Kannel","year":"1987","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0115","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.jelectrocard.2019.05.008","article-title":"Electrocardiographic definition of silent myocardial infarction in population studies: a call to standardize the standards","volume":"55","author":"Soliman","year":"2019","journal-title":"J Electrocardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0120","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/1471-2261-13-23","article-title":"Assessment tools for unrecognized myocardial infarction: a cross-sectional analysis of the REasons for geographic and racial differences in stroke population","volume":"13","author":"Levitan","year":"2013","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0125","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.ahj.2004.03.019","article-title":"Defining unrecognized myocardial infarction: a call for standardized electrocardiographic diagnostic criteria","volume":"148","author":"Ammar","year":"2004","journal-title":"Am Heart J"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0130","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1016\/j.amjcard.2005.06.036","article-title":"Echocardiographic characteristics of electrocardiographically unrecognized myocardial infarctions in a community population","volume":"96","author":"Ammar","year":"2005","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0135","doi-asserted-by":"crossref","first-page":"2733","DOI":"10.1161\/CIRCULATIONAHA.105.570648","article-title":"Impact of unrecognized myocardial scar detected by cardiac magnetic resonance imaging on event-free survival in patients presenting with signs or symptoms of coronary artery disease","volume":"113","author":"Kwong","year":"2006","journal-title":"Circulation"},{"issue":"23","key":"10.1016\/j.jelectrocard.2025.154174_bb0140","doi-asserted-by":"crossref","first-page":"2939","DOI":"10.1016\/j.jacc.2021.04.035","article-title":"The ARIC (atherosclerosis risk in communities) study: JACC focus seminar 3\/8","volume":"77","author":"Wright","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0145","series-title":"The Minnesota code manual of electrocardiographic findings","author":"Prineas","year":"2010"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0150","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/0895-4356(95)00041-0","article-title":"Community surveillance of coronary heart disease in the atherosclerosis risk in communities (ARIC) study: methods and initial two years\u2019 experience","volume":"49","author":"White","year":"1996","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0155","doi-asserted-by":"crossref","first-page":"1848","DOI":"10.1161\/CIRCULATIONAHA.111.047480","article-title":"Twenty-two-year trends in incidence of myocardial infarction, coronary heart disease mortality, and case fatality in 4 US communities, 1987-2008","volume":"125","author":"Rosamond","year":"2012","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0160","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jacc.2011.07.050","article-title":"Silent ischemia: clinical relevance","volume":"59","author":"Conti","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0165","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.amjcard.2012.11.032","article-title":"Biomarkers and electrocardiographic evidence of myocardial ischemia in patients with human immunodeficiency virus infection","volume":"111","author":"Gupta","year":"2013","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0170","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.amjcard.2013.09.005","article-title":"Comparison of prognosis in unrecognized versus recognized myocardial infarction in men versus women >55 years of age (from the Rotterdam study)","volume":"113","author":"Dehghan","year":"2014","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0175","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.pcad.2007.05.003","article-title":"Electrocardiographic signs of remote myocardial infarction","volume":"50","author":"Michael","year":"2007","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.jelectrocard.2025.154174_bb0180","doi-asserted-by":"crossref","first-page":"1945","DOI":"10.1001\/jama.2015.14849","article-title":"Prevalence and correlates of myocardial scar in a US cohort","volume":"314","author":"Turkbey","year":"2015","journal-title":"Jama"}],"container-title":["Journal of Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022073625003024?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022073625003024?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T18:03:37Z","timestamp":1781460217000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022073625003024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":36,"alternative-id":["S0022073625003024"],"URL":"https:\/\/doi.org\/10.1016\/j.jelectrocard.2025.154174","relation":{},"ISSN":["0022-0736"],"issn-type":[{"value":"0022-0736","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Electrocardiographic criteria for silent myocardial infarction: Impact of different definitions on detection rates and prognostic significance in the atherosclerosis risk in communities (ARIC) study: A comparison with evolving bundle branch blocks","name":"articletitle","label":"Article Title"},{"value":"Journal of Electrocardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jelectrocard.2025.154174","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"154174"}}