Vomiting as a diagnostic aid in acute ischaemic cardiac pain

The incidence of vomiting before the administration of analgesics was studied in 109 patients admitted to hospital as emergencies with prolonged ischaemic cardiac pain. In transmural myocardial infarction (58 patients) the incidence was 43% (anterior infarction 58%, inferior infarction 41%). Of the...

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Published inBritish Medical Journal Vol. 281; no. 6241; pp. 636 - 637
Main Authors Ingram, D A, Fulton, R A, Portal, R W, Aber, C P
Format Journal Article
LanguageEnglish
Published England British Medical Journal Publishing Group 06.09.1980
British Medical Association
BMJ Publishing Group LTD
Subjects
Analgesics
Aspartate Aminotransferases - blood
Coronary artery disease
Electrocardiography
Heart
Humans
Myocardial infarction
Myocardial Infarction - blood
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Narcotics
Necrosis
Pain
Reflexes
Symptoms
Vomiting
Vomiting - etiology
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Summary:The incidence of vomiting before the administration of analgesics was studied in 109 patients admitted to hospital as emergencies with prolonged ischaemic cardiac pain. In transmural myocardial infarction (58 patients) the incidence was 43% (anterior infarction 58%, inferior infarction 41%). Of the 23 patients with myocardial necrosis but without transmural infarction (that is, those with diffuse or subendocardial necrosis) and the 28 with coronary insufficiency but no necrosis, only one patient in each group experienced vomiting. When vomiting occurs early in association with cardiac pain transmural infarction may be expected in 90% of patients.
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PMID:7437744
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ISSN:0007-1447
1468-5833
DOI:10.1136/bmj.281.6241.636