RESEARCH ARTICLE


Morphine Use Did Not Eliminate the Effect of Pain on Complications After Acute Myocardial Infarction



Anas Abu Taha1, Mohannad Eid AbuRuz*, 2, Aaliyah Momani3
1 Clinical Nurse Specialist, Applied Science Private University, Amman, Jordan
2 Clinical Nursing Department, Applied Science Private University, Amman, Jordan
3 Assistant Professor, Maternal and Child Health Nursing Department, Faculty of Nursing, Applied Science Private University, Amman, Jordan


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Creative Commons License
© 2022 Abu Taha et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Clinical Nursing Department, Applied Science Private University, Amman, Jordan; Tel: 00962790262408; Fax: 0096265232899; E-mail: mohannadeid@yahoo.com


Abstract

Background:

Patients with Acute Myocardial Infarction (AMI) are usually present complaining of severe chest pain. This pain results from an imbalance between oxygen supply and demand, leading to severe complications. Different guidelines recommend using Morphine as a drug of choice for treating this pain.

Objective:

This study aimed to check the effect of chest pain and Morphine use on complications rate after AMI.

Methods:

This was a prospective observational study with a consecutive sample of 300 patients with AMI. Data were collected by direct patients interview and medical records review in the emergency departments & Intensive Care Units (ICU). Any complication developed within the hospital stay and after AMI was recorded. All correlated variables were analyzed using the binary logistic regression model.

Results:

The sample included 176 (58.7%) men and 124 (41.3%) women with a mean age of 56.92±12.13 years. A total of 83 patients (27.7%) developed one or more in-hospital complications. Acute recurrent ischemia was the most frequent complication; 70 (23.3%). Severe chest pain (≥ 7), duration of chest pain (more than 5 minutes), history of previous MI, and history of hypertension increased the occurrence of complications by 13%, 7%, 63%, and 25%, respectively. However, the use of Morphine did not have any protective effect against the development of these complications.

Conclusion:

The severity and duration of chest pain increased the occurrence of complications. Morphine administration did not have any protective effect against the development of these complications. Thus, it is recommended to update different policies and guidelines to use other types of chest pain relief methods, e.g., treating the underlying cause of chest pain and addressing the imbalance between oxygen supply and demand.

Keywords: Chest pain, Morphine, Acute myocardial infarction, Complications, Cardiovascular diseases, Coronary heart disease.