OBSERVATIONS ON THE RELATIONSHIP OF PAIN TO THE PROCESS OF MYOCARDIAL INFARCTION, AS SHOWN BY ELECTROCARDIOGRAPHS IN "LATENT" CASES
Authors: J S GILSON, C M DAY
Journal: Annals of Internal Medicine (1953)

Article1 March 1953OBSERVATIONS ON THE RELATIONSHIP OF PAIN TO THE PROCESS OF MYOCARDIAL INFARCTION, AS SHOWN BY ELECTROCARDIOGRAPHS IN "LATENT" CASESJOHN S. GILSON, M.D., CECIL M. DAY, M.D.JOHN S. GILSON, M.D., CECIL M. DAY, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-38-3-470 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe cause of the pain in angina pectoris and in myocardial infarction has been considered by most observers to be myocardial ischemia and consequent abnormal metabolism due to lack of oxygen or accumulated metabolites.1, 2Some have postulated distention of vessels proximal to the obstruction as a cause of pain,3and others, distention of the infarcted area of myocardium with each heart beat.4The cases herein described support the concept of ischemia and its consequences as the cause of pain. They also give electrocardiographic support to and explanation of the syndrome of premonitory pain in coronary thrombosis described by Feil.5...Bibliography1. Rinzler SH: Cardiac pain, Am. J. Med. 5: 736-748, 1948. CrossrefMedlineGoogle Scholar2. Blumgart HL: Cardiac pain, 1943, Williams & Wilkins Co., Baltimore, pp. 326-327. Google Scholar3. MartinGorham SJLW: Cardiac pain: an experimental study with reference to tension factor, Arch. Int. Med. 62: 840-852, 1938. CrossrefGoogle Scholar4. Wiggers CJ: Paper presented at Regional Meeting, Am. College of Physicians, Pittsburgh, Fall 1944. Google Scholar5. Feil H: Preliminary pain in coronary thrombosis, Am. J. M. Sc. 193: 42-48, 1937. CrossrefGoogle Scholar6. FreedbergBlumgartZollSchlesinger ASHLPMMJ: Coronary failure, J. A. M. A. 138: 107-114 (Sept. 11) 1948. CrossrefMedlineGoogle Scholar7. MasterJaffeeDackGrishman AMHLSA: Coronary occlusion, coronary insufficiency and angina, Am. Heart J. 27: 803, 1944. CrossrefGoogle Scholar8. BayleyLaDueYork RHJSDJ: ECG changes produced in the dog by temporary occlusion of a coronary artery showing a new stage in the evolution of myocardial infarction, Am. Heart J. 27: 164-169, 1944. CrossrefGoogle Scholar9. Hecht HH: Concepts of myocardial ischemia, Arch. Int. Med. 84: 711-729, 1949. CrossrefGoogle Scholar10. Johnson AC: Disabling changes in hands resembling sclerodactylia following myocardial infarction, Ann. Int. Med. 19: 433, 1943. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication June 25, 1952.From the Department of Medicine of the Great Falls Clinic and The Montana Deaconess Hospital, Great Falls, Montana. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byReferencesDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und Herzinfarkt 1 March 1953Volume 38, Issue 3Page: 470-477KeywordsAnginaElectrocardiographyFallsHeartHospital medicineIschemiaMyocardial infarctionMyocardiumOxygenThrombosis ePublished: 1 December 2008 Issue Published: 1 March 1953 PDF downloadLoading ...