Why the study?
Does the localization and radiation of chest pain differentiate acute myocardial infarction from non-AMI in patients admitted to the CCU?
Does the localization and radiation of chest pain differentiate acute myocardial infarction from non-AMI in patients admitted to the CCU?
Radiation of chest pain to the neck and arms, rather than its specific localization, is a significant indicator of acute myocardial infarction in patients admitted to the CCU.
Answers are grounded in this paper and cite their sources.
Neck/arm radiation was associated with AMI in CCU patients; leaves open whether pain characteristics reliably differentiate AMI.
With the introduction of the coronary care units (CCU) the question of an early diagnosis of acute myocardial infarction (AMI) has become of great importance. The main criterion for admission to these units has been central chest pain. In this study the localization and radiation of chest pain has been analysed. No typical localization of the chest pain has been found in the patients with AMI compared to those admitted to the CCU but found not to have AMI. The radiation of pain to the neck and arms is, however, highly significantly more common in patients with AMI than in the controls.
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Urbain Säwe (1971) studied this question.
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