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Chest Pain: Cardiac and Non-Cardiac

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Handbook of Cardiovascular Behavioral Medicine

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Abstract

Chest pain is generally interpreted as a symptom of cardiac dysfunction, usually myocardial ischemia, but the relationship of chest pain and ischemia is weak. Psychological states and traits (notably anxiety and depression) are strongly associated with chest pain in patients with known coronary artery disease both when measurable ischemia occurs and when ischemia cannot be concomitantly detected. Intense emotional arousal (anger and panic) is a known precipitant of symptomatic and asymptomatic (“silent”) ischemia. In addition to ischemia-related chest pain, noncardiac chest pain is a common medical problem that is also associated with anxiety and depression. Treatment of emotional distress has been found to help diminish chest pain in both patients with cardiac and noncardiac chest pain and reduce ischemia in patients with coronary artery disease.

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Author information

Authors and Affiliations

  1. Heart and Vascular Institute, Henry Ford Medical Group, Detroit, MI, USA

    Mark W. Ketterer

  2. Heart and Vascular Institute, Henry Ford Hospital, Wayne State University, Detroit, MI, USA

    John Schairer & Amjad Farha

  3. Department of Psychology, Wayne State University, Detroit, MI, USA

    Mark A. Lumley

  4. Consultation-Liaison Psychiatry, Henry Ford Medical Group, Detroit, MI, USA

    Walter Knysz

Authors
  1. Mark W. Ketterer
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  2. Mark A. Lumley
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  3. John Schairer
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  4. Amjad Farha
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  5. Walter Knysz
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Editor information

Editors and Affiliations

  1. Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA

    Shari R. Waldstein

  2. Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands

    Willem J. Kop

  3. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

    Edward C. Suarez

  4. Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    William R. Lovallo

  5. Division of Gerontology Geriatrics and Palliative Medicine Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA

    Leslie I. Katzel

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© 2022 The Author(s), under exclusive license to Springer Science+Business Media, LLC, part of Springer Nature

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Ketterer, M.W., Lumley, M.A., Schairer, J., Farha, A., Knysz, W. (2022). Chest Pain: Cardiac and Non-Cardiac. In: Waldstein, S.R., Kop, W.J., Suarez, E.C., Lovallo, W.R., Katzel, L.I. (eds) Handbook of Cardiovascular Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85960-6_45

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