Abstract
Aging is often considered a risk factor for silent ischemic cardiopathy. Using endermic electric stimuli, we assessed the course of pain threshold and pain tolerance in 23 male subjects affected by silent myocardial ischaemia, and in 20 male subjects with symptomatic cardiopathy; we also attempted to define the role played by age. Values of pain threshold were assessed using the same method in a group of 40 healthy subjects, five for each age decade, between 10 and 90 years. Our data show a significant difference in pain threshold and tolerance between subjects with silent and symptomatic cardiopathies (34.7 +/- 12.6 mA versus 25.2 +/- 12.5 mA: P < 0.001 for the threshold and 68.5 +/- 21.2 mA versus 46.0 +/- 22.3: P < 0.001 for tolerance). The fact that the significance of our results is superior to that of other studies may be due to the particular method of stimulation used and to the uniformity of the sample studied (sex, age, exclusion of subjects with anxiety-depressive symptoms). No difference was found in pain threshold as regards age. It seems probable that the difference found between subjects with silent and symptomatic cardiopathies is due to the different modulation of the perception of pain at a central level, inde...Continue Reading
References
May 1, 1991·American Heart Journal·I V VassiliadisS F Horowitz
Oct 1, 1990·Circulation·D P Zipes
Feb 1, 1990·Circulation·J L FlegE G Lakatta
Jul 1, 1990·American Heart Journal·P F MillerL G Ekelund
Oct 1, 1987·Journal of the American College of Cardiology·A J LabovitzH L Kennedy
Aug 1, 1988·Journal of the American College of Cardiology·C FalconeG Specchia
Nov 1, 1986·Journal of Gerontology·D R Kenshalo
Oct 1, 1971·Journal of Abnormal Psychology·W C Clark, L Mehl
Jan 1, 1970·Gerontologia Clinica·P ProcacciM Della Corte
Dec 1, 1967·The British Journal of Social and Clinical Psychology·M Hamilton
Jul 1, 1984·Circulation·P W SerruysR W Brower
Nov 1, 1994·The American Journal of Cardiology·L I KatzelJ L Fleg
Jun 1, 1994·International Journal of Cardiology·F SeccarecciaF Menghini
Mar 1, 1994·Journal of the American College of Cardiology·B MarchantA D Timmis
Apr 1, 1994·Cardiovascular Research·A KardosH Roskamm
Jan 1, 1993·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·H J KaiserD Burckhardt
Jul 15, 1993·The American Journal of Cardiology·H HikitaH Nakamura
May 1, 1993·Journal of Psychosomatic Research·A Arntz, P de Jong
Citations
Jul 19, 2001·Clinics in Geriatric Medicine·S J Gibson, R D Helme
Jun 26, 2004·The Clinical Journal of Pain·Stephen J Gibson, Michael Farrell
Jul 21, 2005·Regional Anesthesia and Pain Medicine·Frédéric Aubrun
Sep 28, 2013·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·J KempA Dufour
Apr 28, 2007·Pain·Michal GranotZaher S Azzam
Jan 8, 2016·Clinical and Experimental Dental Research·Yoshio NakashimaYasuhiko Kawai