PMID: 3763233Aug 1, 1986Paper

A defective angina pectoris pain warning system: experimental findings of ischemic and electrical pain test

Pain
C DrosteH Roskamm

Abstract

Ischemic pain threshold and tolerance levels using the tourniquet pain technique and electrical cutaneous pain thresholds were measured in patients with asymptomatic ischemic heart disease. Thirty asymptomatic patients, who repeatedly exhibited no angina pectoris pain during the occurrence of exercise-induced coronary ischemia (greater than or equal to 0.1 mV ST segment depression in exercise ECG) were compared to 30 randomly selected symptomatic control patients. In a smaller patient group (6 symptomatic, 6 asymptomatic) the degree of forearm ischemia during the tourniquet test was determined non-invasively by monitoring transcutaneous pO2. Results indicated that asymptomatic patients needed significantly more time to reach pain threshold following occlusion of forearm blood flow and exhibited significantly lower tcpO2 values at threshold than symptomatic patients. Electrical pain thresholds were also elevated in the asymptomatic group. These findings indicate that the phenomenon of asymptomatic myocardial ischemia can be explained by an extracardiac pain modifying mechanism.

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Citations

May 1, 1988·Cardiovascular Drugs and Therapy·W RutishauserP Roy
Nov 1, 1993·Cardiovascular Drugs and Therapy·C Sylvén
Jul 1, 1993·Journal of Psychosomatic Research·P F MillerD S Sheps
Jan 1, 1989·Social Science & Medicine·C A Niven, K J Gijsbers
Jan 5, 1996·Biological Psychology·D Vaitl
Apr 1, 1988·Journal of the American College of Cardiology·C FalconeC Montemartini
Aug 1, 1988·Journal of the American College of Cardiology·C FalconeG Specchia
Oct 1, 1996·Journal of the American College of Cardiology·C FalconeC Montemartini
Jan 15, 2000·Journal of the American College of Cardiology·S E SheiferT A Manolio
Nov 3, 1998·American Journal of Physical Medicine & Rehabilitation·J J VatineR Nirel
Jun 16, 2007·The Journal of Pain : Official Journal of the American Pain Society·Monique A H SteegersOliver H G Wilder-Smith
Jul 1, 1992·Progress in Cardiovascular Diseases·A MaseriG Davies
Jan 1, 1993·Neuroscience and Biobehavioral Reviews·S T Meller, G F Gebhart
Apr 20, 2017·Pain Practice : the Official Journal of World Institute of Pain·Xiaoli QuanPui Hing Chau
Dec 15, 1993·International Journal of Cardiology·A HartmannM Kaltenbach
Dec 23, 2016·Journal of the American Heart Association·Andrea Milde ØhrnHaakon Lindekleiv
Oct 20, 2007·Orvosi hetilap·Zoltán Völgyi, Makszim Szavin

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