Journal of Isfahan Medical School

Journal of Isfahan Medical School

Chest Pain Intensity Response after Primary Angioplasty in Opium Addicted and Non-Addicted Patient with Acute Myocardial Infarction: A Comparative Study

Document Type : Original Article(s)

Authors
Marzieh Tajmirriahi 1
Hamidreza Roohafza 2
Ehsan Shirvani 3
Marjan Kiani 4
1 Associate Professor, Department of Cardiology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Professor, Department of Mental Health, Cardiovascular Research Center, Isfahan, Iran
3 Assistant Professor, Department of Cardiology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 MD, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/jims.v44.i853.0289
Abstract
Introduction: Angioplasty is an emergency intervention procedure which restores blood flow in a blocked artery in patients with acute myocardial infarction (MI) with ST-segment elevation. Many studies showed, opium addiction (OA) can be a risk factor for MI. However no studies showed the role of OA in pain response after primary angioplasty. In this study we aimed to compare the pain response after angioplasty in OA and non-OA group.
Method: The present study is a case control study . The study population consisted of 180 male patients (90 addicted patients and 90 non-addicted patients) who were admitted to the emergency department of Khorshid Hospital in Isfahan with a diagnosis of acute ST-elevation myocardial infarction .The required information was obtained by distributing a questionnaire before and after primary angioplasty treatment.
Results: The mean pain intensity after the intervention was assessed in the two groups and no significant difference was observed. In terms of substance use, the highest frequency was related to opium, which was 86.3%. There was no significant difference between the two groups regarding the type of myocardial infarction and in both groups, the highest frequency was related to the anterior level.
Conclusion: The mean pain intensity after emergency primary angioplasty in male patients (addicted and non-addicted) with acute myocardial infarction showed no significant difference

Highlights

Marzieh Tajmirriahi: Google Scholar , PubMed

Hamidreza Roohafza: Google Scholar , PubMed

Ehsan Shirvani: Google Scholar , PubMed

Keywords
Acute myocardial infarction
Drug use
primary angioplasty
Subjects
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Journal of Isfahan Medical School
Volume 44, Issue 853
1st Week, May
May and June 2026
Pages 289-295

  • Receive Date 21 January 2025
  • Accept Date 17 May 2026