Relation between myocardial infarction site and pain location in Q-wave acute myocardial infarction

Vincenzo Pasceri, Domenico Cianflone, Maria Luisa Finocchiaro, Filippo Crea, Attilio Maseri

Research output: Contribution to journalArticlepeer-review


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 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.

Original languageEnglish
Pages (from-to)224-227
Number of pages4
JournalThe American Journal of Cardiology
Issue number4
Publication statusPublished - Feb 1 1995

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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