PMID: 3771007Oct 1, 1986Paper

Variability of chest pain in suspected acute myocardial infarction according to subjective assessment and requirement of narcotic analgesics

International Journal of Cardiology
J HerlitzS Holmberg

Abstract

In 653 patients with suspected acute myocardial infarction the course of pain according to subjective assessment and morphine requirement is described. Patients were asked to score pain from 0-10 until a pain-free interval of 12 hours appeared. Different categories of patients constructed from clinical aspects were compared. Although the variability between groups was fairly small, subgroups were found in which the initial intensity of pain was more marked and the duration of pain was longer. Thus patients with larger infarcts according to maximum serum enzyme activity and patients with Q-wave infarction had more severe pain initially and also a longer duration and a higher morphine requirement compared with patients with a lower serum enzyme activity or a non-Q-wave infarction. Other groups with a more severe course of chest pain were those with more intensive pain at home, electrocardiographic signs of acute myocardial infarction on admission to hospital, and finally those with a high systolic blood pressure or a high rate-pressure product on admission to the Coronary Care Unit. We thus conclude that there is a variability of chest pain in suspected acute myocardial infarction and that there are defined groups of patients in ...Continue Reading

References

Jan 1, 1985·Cardiology·J Herlitz, A Hjalmarson
Nov 1, 1984·Progress in Cardiovascular Diseases·J C Longhurst
Nov 14, 1980·JAMA : the Journal of the American Medical Association·J R Ledwich, G A Mondragon

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Citations

Jan 1, 1991·European Journal of Clinical Pharmacology·M DellborgK Swedberg
Mar 1, 1987·The American Journal of Cardiology·B J KircherB Pitt
Nov 1, 1993·Journal of the American College of Cardiology·H G Olson
May 1, 1994·Journal of Internal Medicine·B ErikssonC Sylvén
Jan 1, 1989·British Heart Journal·J HerlitzF Waagstein
Aug 19, 2007·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Dimitrios Ch TziallasMargarita D Giannakopoulou
Mar 22, 2014·Pain Practice : the Official Journal of World Institute of Pain·Michel GalinskiFrédéric Adnet
Oct 1, 1996·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·H Pedley
Jun 7, 2016·American Heart Journal·Cian P McCarthyJohn W McEvoy
Nov 3, 2010·International Journal of Cardiology·Johan HerlitzBirgitta Wireklint-Sundström
Dec 1, 2008·International Journal of Evidence-based Healthcare·Kate Seers
Jan 1, 1991·Journal of Community Health Nursing·C E SmithL Bieker
Oct 18, 2014·The Journal of Cardiovascular Nursing·Sheila O'Keefe-McCarthyJudith McFetridge-Durdle
Mar 1, 1991·Intensive Care Nursing·F Gaston-JohanssonJ Herlitz

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