Key result
Post-myocardial infarction pain patterns in rural male patients managed without a coronary care unit were similar to an urban hospital cohort, suggesting initial management does not influence subsequent pain.
Observational (n=110)
No
Initial management of myocardial infarction may not significantly influence long-term post-MI pain patterns.
One hundred and ten males of an average age 54·7 years have been interviewed more than six months after myocardial infarction. None of these patients had been treated in a coronary care unit, and only four were receiving long-term anticoagulant therapy. All patients were living in the country. The nature and frequency of post-myocardial infarction pain in these patients have been classified, and attitudes towards physical exercise, the use of glyceryl trinitrate and smoking habits have been examined. The study has been compared with an earlier study performed on patients attending the Royal Melbourne Hospital. The results are similar, suggesting that the initial management of the patient does not influence subsequent pain patterns.
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W. B. Stephens (1970) conducted an observational in Post-myocardial infarction (n=110). Initial management without a coronary care unit (rural setting) vs. Patients attending the Royal Melbourne Hospital (urban setting) was evaluated on Nature and frequency of post-myocardial infarction pain. Post-myocardial infarction pain patterns in rural male patients managed without a coronary care unit were similar to an urban hospital cohort, suggesting initial management does not influence subsequent pain.
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