A descriptive study of early nonspecific chest pain after PTCA: important area for the acute health care personnel
| Autor: | Marit Rønnevig, Elisabeth Bjorsvik, Lars Gullestad, Forfang K |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Thorax Chest Pain Health Knowledge Attitudes Practice Time Factors Health Personnel Myocardial Ischemia Critical Care and Intensive Care Medicine Chest pain Severity of Illness Index Diagnosis Differential Postoperative Complications Surveys and Questionnaires Health care Humans Medicine Angioplasty Balloon Coronary Aged Pain Measurement Norway business.industry Vascular disease Middle Aged medicine.disease Ischemic pain Blood Vessel Prosthesis Intensive Care Units Treatment Outcome McGill Pain Questionnaire Anesthesia Female Stents medicine.symptom Ischemic chest pain Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Heart & Lung. 32:241-249 |
| ISSN: | 0147-9563 |
| DOI: | 10.1016/s0147-9563(03)00024-4 |
| Popis: | Background Many patients report chest pain of varying intensity at various locations during the first hours after percutaneous transluminal coronary angioplasty (PTCA). Objectives The aim of the study was to increase knowledge regarding differentiating between harmless chest pain versus ischemic chest pain, focusing on patients description of their pain. Methods A total of 192 patients after elective PTCA were interviewed twice. In addition patients experiencing chest pain within 6 hours after the procedure completed the McGill Pain Questionnaire (MPQ). Results Nonspecific chest pain occurred in 34 patients (18%) and ischemic chest pain in 6 (3%), whereas 152 (79%) did not report early chest pain after PTCA. The nonspecific pain group reported statistically significant less pain intensity (VAS P = .001), used fewer (P = .006) and qualitatively weaker (P = .008) words compared to the ischemic pain group. No predisposing factors that could predict chest pain were identified. Conclusions Discriminators appear to be the pain intensity and the word descriptors. MPQ combined with a VAS could be valuable clinical tools with regard to patients' description of pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect