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Acute Coronary Care pp 299–309Cite as

Achieving Pain Relief with Physiologic Management and Analgesic Agents During Acute Myocardial Infarction

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Abstract

The initial management of chest pain in patients with acute myocardial ischemia or infarction has been aimed at relief of the pain rather than modification of the physiologic determinants of the pain. General supportive measures including analgesia, sedation, and oxygenation have been routinely employed whether the patient has only a suspected myocardial infarction or has an obvious large evolving infarction. Recently interventions have been developed that may favorably affect the balance between myocardial oxygen supply and demand. Beta-blockers, nitroglycerin, calcium channel blockers, intraaortic balloon counterpulsation, and thrombolytic therapy commonly have a beneficial effect on the chest pain. The purpose of this chapter is to develop a physiologic approach to the management of chest pain complicating acute infarction by focusing on the effects of interventions on the myocardial oxygen demand/supply ratio.

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Authors
  1. Robert Lester
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Editor information

Editors and Affiliations

  1. Department of Medicine, Duke University Medical Center, Box 31123, 27710, Durham, North Carolina, USA

    Robert M. Califf M.D.

  2. Department of Medicine, Duke University Medical Center, Box 31211, 27710, Durham, North Carolina, USA

    Galen S. Wagner M.D.

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© 1985 Martinus Nijhoff Publishing, Boston/Dordrecht/Lancaster

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Lester, R. (1985). Achieving Pain Relief with Physiologic Management and Analgesic Agents During Acute Myocardial Infarction. In: Califf, R.M., Wagner, G.S. (eds) Acute Coronary Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3828-4_31

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  • DOI: https://doi.org/10.1007/978-1-4613-3828-4_31

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3830-7

  • Online ISBN: 978-1-4613-3828-4

  • eBook Packages: Springer Book Archive

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