Case Reports1 January 1952RELIEF OF PAIN IN ACUTE MYOCARDIAL INFARCTION BY PROCAINE BLOCK OF THE SYMPATHETIC NERVE SUPPLYCARLOS A. FISH, M.D., F.A.C.P., EVERETT G. GRANTHAM, M.D.CARLOS A. FISH, M.D., F.A.C.P.Search for more papers by this author, EVERETT G. GRANTHAM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-1-172 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMandl in 1925 was the first to use procaine block for the relief of cardiac pain. Swetlow2in 1926 introduced the use of alcohol for longer lasting relief by a chemical block. In America this procedure was perfected and popularized by White.3Alcohol blocks, sympathectomy and rhizotomy are accepted procedures in general use today for the relief of angina pectoris. We have been unable, however, to find in the literature any reference to the use of sympathetic block for the relief of the pain in acute myocardial infarction. The dramatic relief of pain in a patient with acute coronary occlusion...Bibliography1. Mandl F: Die Wirkung der paravertebral Injektion bei Angina pectoris, Arch. f. klin. Chir. 136: 495, 1925. Google Scholar2. Swetlow GI: Paravertebral alcohol block in cardiac pain, Am. Heart J. 1: 393, 1926. CrossrefGoogle Scholar3. White JC: Technique of paravertebral alcoholic injection methods and safeguards in its use in the treatment of angina pectoris, Surg., Gynec. and Obst. 71: 334, 1940. Google Scholar4. Heinbecker P: Heart pain, J. Thoracic Surg. 10: 44, 1940. CrossrefGoogle Scholar5. Lindgren I: Angina pectoris—a clinical study with special reference to neurosurgical treatment, Acta med. Scandinav., 1950 (Supplementum CCXLIII) (243). Google Scholar6. WhiteSmithwick JCRH: The autonomic nervous system, 1941, The Macmillan Company, New York. Google Scholar7. KatzJochim LNK: Observations on the innervation of the coronary vessels of the dog, Am. J. Physiol. 126: 395, 1939. CrossrefGoogle Scholar8. LericheFontaine RR: Quoted by Katz and Jochim.7 Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Louisville, Kentucky*Received for publication November 24, 1950.From the Departments of Internal Medicine and Surgery of the University of Louisville School of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySYSTEMIC SHOCK OF CARDIOPULMONARY ORIGINDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und Herzinfarkt 1 January 1952Volume 36, Issue 1Page: 172-177KeywordsAcute myocardial infarctionAlcoholsAnginaNervesSurgerySympathectomy ePublished: 1 December 2008 Issue Published: 1 January 1952 PDF downloadLoading ...