Myocardial infarction pain: systematic description and analysis

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Abstract

The aim of the study was to describe various components of pain in suspected acute myocardial infarction (MI). Ninety-four patients admitted to a Coronary Care Unit (CCU) complaining of chest pain with the preliminary diagnosis suspect MI were included in the study. Thirty-eight subjects were eventually diagnosed as having MI and 56 subjects as non-MI. A comparison of chest pain description was performed between MI and non-MI subjects. The Pain-o-meter (POM) and the Visual Analogue Scale (VAS) were used to assess pain intensity. MI patients reported more intense sensory and affective pain than non-MI patients. MI patients also reported more intense affective pain than sensory pain, whereas non-MI patients reported just the opposite. The number of affective words chosen by MI patients differentiated them more clearly from non-MI patients than any other factor in the pain description. Pain intensity was significantly correlated to the estimated size of the infarct.

References (34)

  • L. Foley

    The reliability and validity of the Pain-ometer assessment tool in laboring patients

    (1988)
  • N. Fowler

    Chest pain: A practical method of evaluation

    Hospital Medicine

    (1984)
  • K. Galan et al.

    Critical care cardiology significance of early chest pain after coronary angioplasty

    Heart Lung

    (1985)
  • F. GastonJohansson

    Pain assessment with particular reference to pain terms, instrumental development and pain description

  • F. GastonJohansson et al.

    A baseline study for the development of an instrument for the assessment of pain

    Journal of Advanced Nursing

    (1985)
  • F. GastonJohansson et al.

    Progression of labor in pain in primiparas and multiparas

    Nursing Research

    (1988)
  • J. Haft et al.

    Possible MI patient care

    Patient Care

    (1985)
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