Acute noncardiac chest pain in a coronary care unit: Acute noncardiac chest pain in a coronary care unit. Evaluation by 24-hour pressure and pH recording of the esophagus
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Relevance of early management by proton-pump inhibitor in acute upper gastro-intestinal tract disorder: A scoping review
2023, Biomedicine and PharmacotherapyClinical usefulness of esophageal high resolution manometry and adjunctive tests: An update
2021, Digestive and Liver DiseaseCitation Excerpt :Most importantly, HRM rules out achalasia and other major esophageal motility disorders, which can present with symptoms that can resemble that seen with GERD [108]. In the context of non-cardiac chest pain, hypercontractile peristalsis, and other motor disorders, including achalasia may be encountered in some [109], while manometry is normal in 70% of these patients [110,111]. In refractory postprandial regurgitation, rumination or supragastric belching identified on HRIM may be the mechanism for symptoms [30,112,113], in as many as half of these refractory patients in a recent study [114].
The use of gastrointestinal cocktail for differentiating gastro-oesophageal reflux disease and acute coronary syndrome in the emergency setting: A systematic review
2014, Heart Lung and CirculationCitation Excerpt :The diagnostic algorithm must have a high level of both sensitivity and specificity for the diagnosis of ACS. Of the patients who present to an ED with chest pain, 30-58% are subsequently diagnosed with gastro-oesophageal reflux disease (GERD) or oesophageal motility disorders [6–9]. Distinguishing ischaemic from oesophageal chest pain can be difficult on patient history and clinical observation, as both ischaemic cardiac chest pain and the pain associated with GERD can share very similar characteristics, including dyspepsia, and a response to nitrates or an antacid cocktail [10,11].
Gastroesophageal Reflux Disease
2014, Textbook of Gastrointestinal Radiology: Volumes 1-2, Fourth EditionThe evaluation of gastro-oesophageal reflux and oesophagocardiac reflex in patients with angina-like chest pain following cardiologic investigations
2007, International Journal of CardiologyCitation Excerpt :It has been shown that up to 40% of the patients, admitted to a coronary care unit with typical angina-like chest pain have a normal coronary anatomy [3]. The majority of their chest pain events might, however, be caused by gastro-oesophageal reflux disease or other oesophageal motility disorders as it has been established by functional oesophageal testing [4–10]. Furthermore, oesophageal causes of non-cardiac chest pain can also be observed in patients with coronary artery disease with a similar incidence [11–13].