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Prevalence of linked angina and gastroesophageal reflux disease in general practice

Hirohito Kato1, Takamasa Ishii, Tatsuo Akimoto

  • 1Department of General Medicine and Emergency Care, Toho University School of Medicine, Omori Hospital, 6-11-1 Omori-Nishi, Ota-Ku, Tokyo, Japan.

World Journal of Gastroenterology
|April 11, 2009
PubMed

Insights

Gastroesophageal reflux disease (GERD) symptoms may mask underlying ischemic heart disease. Physicians should consider coronary artery disease in GERD patients, as some may present with non-cardiac chest pain.

Area of Science:

  • Cardiology
  • Gastroenterology

Background:

  • Gastroesophageal reflux disease (GERD) is a common condition.
  • Coronary heart disease (CHD) is a leading cause of mortality.
  • The relationship between GERD and CHD requires further investigation.

Purpose of the Study:

  • To investigate the association between GERD symptoms and the presence of coronary heart disease.
  • To determine if GERD symptoms can be a confounding factor in diagnosing ischemic heart disease.

Main Methods:

  • A cohort of 1970 consecutive patients was studied.
  • Patients completed the F-scale questionnaire for GERD symptoms.
  • Electrocardiography (ECG) was performed for patients with suspected coronary artery ischemia.

Main Results:

  • Among 712 patients with GERD, 5% showed ischemic changes on ECG.
  • Four patients (0.6%) with GERD symptoms had ECG abnormalities without typical chest pain.
  • 20 patients (7%) without GERD symptoms also had abnormal ECG findings.

Conclusions:

  • Ischemic heart disease can be present in patients presenting with GERD symptoms.
  • Physicians must remain vigilant for coronary artery disease in patients evaluated for GERD.
  • Early detection of cardiac issues is crucial even when GERD is suspected.
Abstract

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