[Pain in acute myocardial infarction].
Pain is the most constant symptom in acute myocardial infarction (AMI) but there are considerable variations. It is possible that pain may indirectly cause extension of the infarct. The authors have, therefore, undertaken a retrospective investigation of 87 unselected patients admitted consecutively with the first episode of AMI. In these patients, the presence of any clinical and paraclinical parameters which could predict the employment of analgesics and the duration of pain while hospitalized were investigated. A significant connection was found between the presence of pulmonary stasis on administration to hospital and the total employment of analgesics during hospitalization. Patients with pulmonary stasis have frequently extensive infarcts and a significant connection was found between the enzyme-estimated extent of the infarct and the employment of analgesics and duration of pain. In contrast to previous investigations which were carried out on selected patient materials with exclusion of large infarcts, no significant connection was found between heart rate, systolic blood-pressure, electrocardiographic signs of AMI on admission and total amount of analgesics employed and the duration of pain.
F E
FE
Nielsen
H T
HT
Sørensen
I C
IC
Klausen
D000700:Analgesics / Q000008:administration & dosage; D000787:Angina Pectoris / Q000175:diagnosis* / Q000201:enzymology; D007770:L-Lactate Dehydrogenase / Q000097:blood; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000201:enzymology
D000700:Analgesics; D007770:L-Lactate Dehydrogenase
Smerter ved akut myokardieinfarkt.