RELATION BETWEEN MYOCARDIAL-INFARCTION SITE AND PAIN LOCATION IN Q-WAVE ACUTE MYOCARDIAL-INFARCTION

被引:20
|
作者
PASCERI, V [1 ]
CIANFLONE, D [1 ]
FINOCCHIARO, ML [1 ]
CREA, F [1 ]
MASERI, A [1 ]
机构
[1] UNIV CATTOLICA SACRO CUORE, IST CARDIOL, I-00168 ROME, ITALY
来源
AMERICAN JOURNAL OF CARDIOLOGY | 1995年 / 75卷 / 04期
关键词
D O I
10.1016/0002-9149(95)80024-M
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Location, severity, duration, and time course of pain were assessed in 104 consecutive patients with either first or second, anterior or inferior Q-wave acute myocardial infarction (AMI). Pain severity was assessed using a visual analog scale. Pain location and radiation were similar in 48 patients with anterior and 56 patients with inferior wall AMI. Pain duration (6.1 +/- 6.4 vs 6.5 +/- 5.4 hours, p = NS) and severity (68 +/- 21 vs 61 +/- 21 mm, p = NS) were also similar. The pain was continuous in 34 patients with anterior (71%) and in 42 with inferior (75%) wall AMI. Among the 41 patients who did not receive thrombolytic therapy, 18 patients with continuous pain had a higher creatine kinase peak level than the remaining 23 patients with intermittent pain or preinfarction angina, or both (2,065 +/- 1,017 vs 1,162 +/- 994 IU, p <0.01). The incidence of gastrointestinal symptoms was slightly higher in patients with inferior than anterior wall AMI (70% vs 48%, p <0.05). Among 32 patients admitted with a second AMI, pain location was similar in 14 who had both infarcts in the same myocardial region, but was different in 12 of 18 (67%) who had a first and second infarct in different regions (p <0.001). Thus, patients with anterior or inferior wa AMI experienced pain in similar body regions. However, in patients who presented with >1 AMI, different locations of the infarction pain were highly predictive of ischemia occurring in different myocardial regions. Finally, patients with preinfarction angina or intermittent pain tended to have smaller infarcts.
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收藏
页码:224 / 227
页数:4
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