Use of morphine analgesia in patients with acute forms of ischemic heart disease

: The adequacy of morphine analgesia was studied in 77 patients with acute forms of coronary heart disease (CHD). The studies demonstrated that morphine analgesia was inadequate in 37.7% of the patients with acute CHD. Inadequate morphine analgesia was more frequently observed in patients with lower acute myocardial infarction, in those with severe or very severe pain requiring additional morphine administration, in those with bradycardia and hypotension or high arterial hypertension, in elderly patients after morphine readministration. The above categories of patients require more adequate analgesic methods.