Clinical Approach to Non-Cardiac Chest Pain
What is the likelihood that recurring substernal chest pain might be related to an esophageal abnormality? There are a number of potential mechanisms for what I prefer to call unexplained chest pain because I respect the concept of an entity such as microvascular angina that may be a source of unrecognized heart disease, although not fixed coronary artery disease, in some of these patients. Esophageal etiologies such as GERD or spastic type abnormal contractions must be considered. Finally, we must not forget the interaction of the nervous system, particularly with syndromes such as visceral hyperalgesia.
KeywordsChest Pain Esophageal Motility Provocative Test Diffuse Esophageal Spasm Noncardiac Chest Pain
Unable to display preview. Download preview PDF.
- 2.Osier W: Spasm of the oesophagus. In: The Principles and Practice of Medicine. W Osier (ed). Appleton and Co. New York. 1892. pp. 340–341.Google Scholar
- 4.Code CF, Schlegel JF, Kelly ML, et al: Hypertensive gastroesophageal sphincter. Proc Mayo Clinic 1960; 35:391–399.Google Scholar