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[Gastroesophageal reflux disease among patients suffering from coronary artery disease]

Maria Korzonek1, Krzysztof Safranow, Violetta Sulzyc-Bielicka

  • 1Centralna Pracownia Endoskopii SPSK nr 2 w Szczecinie al. Powstańców Wlkp. 72, 70-111 Szczecin.

Annales Academiae Medicae Stetinensis
|April 21, 2009
PubMed

Insights

Gastroesophageal reflux disease (GERD) symptoms are common in coronary artery disease (CAD) patients, often without esophageal damage. Further research is needed to understand the link between GERD, hiatal hernia, and myocardial infarction.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Internal Medicine

Context:

  • Increasing prevalence of gastroesophageal reflux disease (GERD).
  • GERD symptoms can mimic myocardial ischemia (chest pain).
  • Study focuses on patients with confirmed coronary artery disease (CAD) undergoing coronary artery bypass grafting (CABG).

Purpose:

  • To evaluate the frequency of GERD symptoms and esophagitis in CAD patients.
  • To investigate the relationship between GERD, hiatal hernia, myocardial infarction, and smoking.

Summary:

  • 34% of 134 CAD patients exhibited GERD symptoms.
  • Esophagitis was present in 24% of patients; reflux esophagitis Los Angeles classification A was more frequent than B.
  • Barrett's esophagus observed in 5.5% of patients; significant correlation found between GERD, hiatal hernia, myocardial infarction, and smoking.

Impact:

  • Highlights that GERD symptoms in myocardial ischemia patients may not involve mucosal injury.
  • Suggests a potential link between GERD, hiatal hernia, and myocardial infarction requiring further investigation.
  • Emphasizes the importance of considering GERD in the differential diagnosis of chest pain in CAD patients.
Abstract

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