TY - JOUR
T1 - Relation between myocardial infarction site and pain location in Q-wave acute myocardial infarction
AU - Pasceri, Vincenzo
AU - Cianflone, Domenico
AU - Finocchiaro, Maria Luisa
AU - Crea, Filippo
AU - Maseri, Attilio
PY - 1995/2/1
Y1 - 1995/2/1
N2 - 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.
AB - 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.
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U2 - 10.1016/0002-9149(95)80024-M
DO - 10.1016/0002-9149(95)80024-M
M3 - Article
C2 - 7832127
AN - SCOPUS:0028954430
VL - 75
SP - 224
EP - 227
JO - American Journal of Cardiology
JF - American Journal of Cardiology
SN - 0002-9149
IS - 4
ER -