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Chronic Pain Considerations in Patients with Cardiovascular Disease

Corinne M Layne-Stuart1, Anna L Carpenter1

  • 1Department of Anesthesiology, Division of Chronic Pain Medicine, Center for Integrative Pain Management, West Virginia University, 1075 Van Voorhis Road, Morgantown, WV 26505, USA.

Anesthesiology Clinics
|November 3, 2022
PubMed

Insights

Cardiovascular disease frequently leads to chronic pain syndromes. This overview details pain conditions linked to heart disease and discusses treatment considerations for affected patients.

Area of Science:

  • Cardiology
  • Pain Medicine
  • Neurology

Background:

  • Cardiovascular disease impacts nearly half of the US population.
  • Chronic pain is a common complication of cardiovascular disease.
  • Understanding these pain syndromes is crucial for patient management.

Purpose of the Study:

  • To provide an overview of pain syndromes associated with cardiovascular disease.
  • To discuss the direct and indirect pain conditions resulting from cardiovascular disease.
  • To explore comorbidities influencing treatment decisions for chronic pain in cardiovascular patients.

Main Methods:

  • Literature review of pain syndromes linked to cardiovascular disease.
  • Analysis of conditions such as peripheral arterial disease, angina, and poststroke pain.
  • Discussion of psychological and medical factors affecting pain management.

Main Results:

  • Identified multiple pain syndromes directly or indirectly caused by cardiovascular disease.
  • Included peripheral arterial disease, angina, thoracic outlet syndrome, postamputation pain, complex regional pain syndrome, and poststroke pain.
  • Highlighted the role of comorbidities in treatment planning.

Conclusions:

  • Cardiovascular disease is a significant contributor to chronic pain syndromes.
  • A comprehensive approach is needed to manage pain in these patients.
  • Considering comorbidities is essential for effective pain treatment strategies.

Keywords:
Central poststroke painChronic painHemiplegic shoulder painIschemic painPhantom limb painPostamputation painThoracic out syndromeVascular disease

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