Susceptibility to pain in hypertensive and normotensive patients with coronary artery disease: response to dental pulp stimulation

Autor: Colomba Falcone, Renato Sconocchia, Carla Auguadro, Luigi Angoli
Rok vydání: 1997
Předmět:
Zdroj: Hypertension (Dallas, Tex. : 1979). 30(5)
ISSN: 0194-911X
Popis: Abstract An association between a decreased responsiveness to varying painful stimuli and arterial hypertension both in animals and in humans has been documented. The relationship between essential hypertension and silent myocardial ischemia in coronary artery disease (CAD) populations is not well understood. The aims of this study in CAD patients with and without essential hypertension were (1) to determine dental pain threshold and reaction to tooth pulp stimulation and (2) to ascertain whether hypertensive CAD patients differ from normotensive ones in reactivity to pain. This study involved 182 patients who were affected by mild and moderate hypertension (G1) and 174 normotensive patients (G2). The inclusion criteria were reproducible exercise-induced myocardial ischemia, CAD documented at angiography, and dental formula suitable for pulp test. All patients underwent an ergometric stress test, coronary angiography, and pulp test. Our CAD hypertensive patients showed a lower prevalence of angina during daily life (64.8% in G1 versus 81.6% in G2, P P P
Databáze: OpenAIRE