[Pseudocoronary syndrome in reflux esophagitis]

Area of Science:

• Gastroenterology
• Cardiology
• Surgical Science

Background:

• Cardia insufficiency can manifest with symptoms mimicking coronary syndrome.
• Reflux esophagitis is a known complication associated with cardia insufficiency.
• Pseudo-coronary syndrome presents a diagnostic challenge in patients with gastrointestinal disorders.

Observation:

• Among 173 patients with cardia insufficiency, 18 presented with pseudo-coronary syndrome.
• These 18 patients had symptoms attributed to reflux esophagitis.
• Surgical intervention was performed on 14 of these patients.

Findings:

• Surgical correction of cardia insufficiency yielded good outcomes in the treated patients.
• The procedures effectively eliminated the pseudo-coronary syndrome symptoms.
• Cardiovascular manifestations were resolved post-surgery.

Implications:

• Surgical management of cardia insufficiency is a viable treatment for associated pseudo-coronary syndrome.
• Addressing the underlying anatomical issue can resolve cardiac-like symptoms.
• This highlights the importance of considering gastroesophageal reflux in cardiac diagnostics.