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  • Title: [Features of individual pain sensitivity of patients with ischemic heart disease during different variants of bicycle ergometry test].
    Author: Barats SS, Grachev VG, Shifrin IM, Larionov LP.
    Journal: Ter Arkh; 1998; 70(12):16-7. PubMed ID: 10067242.
    Abstract:
    AIM: To assess the significance of individual pain sensitivity in the development of painful and painless episodes of acute myocardial ischemia. MATERIALS AND METHODS: Bicycle ergometry test was carried out in 50 patients aged 35-65 years with angina of effort, functional classes II-III. Before bicycle ergometry, tactile and pain sensitivity thresholds and duration of pain tolerance were assessed by SSM-01 sensometer. RESULTS: Twenty-seven patients showed painful reaction to exercise; 40% of them had a low threshold of pain and 81% poorly tolerated pain. In 11 patients who complained of pain before ECG showed myocardial ischemia, these values were 64 and 91%, respectively. All of 9 patients with painless myocardial ischemia had a high threshold of pain, and 44% of them poorly tolerated pain. CONCLUSION: The data indicate significance of individual pain sensitivity in the development of painless episodes of acute myocardial ischemia.
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