ACUTE CARDIAC INFARCTION WITHOUT PAIN
Open Access
- 1 April 1952
- Vol. 14 (2), 250-260
- https://doi.org/10.1136/hrt.14.2.250
Abstract
Complete absence of pain during acute cardiac infarction was observed in 7 of 150 cases (5%). Three patients had congestive failure. Acute paroxysmal dyspnea was the main symptom in all and it was thought that this may over-shadow coronary pain and thus explain its absence in the severely ill. In another 12 patients with pre-existing congestive heart failure, in whom recent coronary occlusion did not produce acute dyspnea, pain was present. Prognosis in cardiac infarction without pain and complicating heart failure is serious. With complete heart block it may be less severe than is generally accepted since transient block may be a sign of only temporary ischemia of the conducting system.Keywords
This publication has 12 references indexed in Scilit:
- Infarction of the Interventricular SeptumNew England Journal of Medicine, 1949
- IV. Correlation of electrocardiographic and pathologic findings in infarction of the interventricular septum and right ventricleAmerican Heart Journal, 1949
- FAINTING AND FITS IN CARDIAC INFARCTIONHeart, 1942
- CORONARY OCCLUSION WITH AND WITHOUT PAINArchives of Internal Medicine, 1938
- PARTIAL AND COMPLETE HEART BLOCK IN ACUTE CORONART ARTERY OCCLUSIONThe American Journal of the Medical Sciences, 1938
- The incidence of myocardial infarction without pain in 200 autopsied casesAmerican Heart Journal, 1937
- CORONARY THROMBOSIS WITHOUT PAINThe American Journal of the Medical Sciences, 1937
- HEART-BLOCK IN CORONARY THROMBOSISThe Lancet, 1937
- CARDIAC INFARCTION WITHOUT PAIN.: A SERIES OF EIGHT CASESThe Lancet, 1928
- CARDIAC INFARCTION AND CORONARY THROMBOSIS.The Lancet, 1928