Chest pain is an unreliable measure of ischemia in men and women during PTCA

Heart & Lung : the Journal of Critical Care
M A CaldwellBarbara J Drew

Abstract

To investigate the differences between men and women in ischemia-induced pain, the amount of ST-segment deviation (the "ST deviation score"), and the relation between pain intensity and ST deviation score. Retrospective, comparative descriptive. Cardiac catheterization laboratory of a large, urban, university-affiliated medical center with full cardiac services. Adults who underwent percutaneous transluminal coronary angioplasty (PTCA) and had electrocardiographic (ECG) evidence of myocardial ischemia during balloon inflation. Continuous 12-lead ECGs were recorded during balloon inflation in patients undergoing PTCA. Patients rated pain on a scale of 0 to 10. The total ST deviation score equaled baseline ECG ST minus maximal ST deviation; absolute deviations were totaled. Frequencies, measures of central tendency, or chi-square or t tests were used for data analysis with significance established at p < 0.05. There were no difference in the degree of chest pain between men and women during balloon inflation, nor was ST deviation score associated with pain in either gender. Pain intensity did not correlate with total ST deviation in men (r = 0.02) or women (r = -0.07). In this study, pain was a poor indicator of ischemia in both ...Continue Reading

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Citations

May 26, 2004·Journal of Pain and Symptom Management·Michal GranotZaher S Azzam
Feb 9, 2010·International Journal of Nursing Studies·Tahereh Najafi GhezeljehAzita Emami
May 27, 2006·Critical Care Nursing Clinics of North America·Sonya A Flanders
Dec 3, 2016·Critical Care Nurse

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