Title

Chest pain management in acute coronary syndrome and chronic stable angina with diluted xylocaine injections

Authors

Sarvesh Jain^1,*, Roopali Jain² & Arvind Diwakar Jain³

Affiliation

¹Department of Anaesthesiology and Critical Care and Pain Medicine, Government Bundelkhand Medical College, Sagar, Madhya Pradesh, India; ²Department of (Diploma in Gynecology and Obstetrics), Gynaecologist, Pain Clinic, Sagar, Madhya Pradesh, India; ³Private Practitioner, Lalitpur, Uttar Pradesh, India; *Corresponding author

Email

Sarvesh Jain - E-mail: freegasflow@gmail.com; Phone: +91 9424422744
Roopali Jain - E- mail: drroopalisjain1980@gmail.com; Phone: +91 9425463041
Arvind Diwakar Jain - E- mail: anncjain@gmail.com; Phone: +91 9795233768

Article Type

Views

Date

Received September 1, 2025; Revised September 30, 2025; Accepted September 30, 2025, Published September 30, 2025

Abstract

Pain following myocardial ischemia is a significant clinical concern, contributing to increased sympathetic tone, mortality and morbidity. Standard management includes beta blockers, nitrates, aspirin-clopidogrel and opioids. We propose a robust pain portal block technique using 0.5% lignocaine at designated sites on the chest wall and upper limb. This method offers rapid and effective analgesia for both cardiac and non-cardiac chest pain, extending beyond lignocaine's typical duration of action. Early implementation of this technique may positively impact the management and outcomes of acute myocardial infarction.

Keywords

Pain portal block, heart attack, myocardial infarction, chest pain

Citation

Jain et al. Bioinformation 21(9): 2977-2979 (2025)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.