Related Experiment Video
Updated: Jan 10, 2026
06:16
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
786
Non-cardiac chest pain: a real clinical problem
1Department of Gastroenterology, S. Orsola Hospital, Bologna, Italy.
European Journal of Gastroenterology & Hepatology
|December 1, 1995
Summary
Non-cardiac chest pain is common, often stemming from esophageal issues like gastro-oesophageal reflux disease, rather than heart problems. Accurate diagnosis and patient perception impact outcomes for this frequent clinical concern.
Area of Science:
- Gastroenterology
- Cardiology
- Clinical Medicine
Background:
- Non-cardiac chest pain is a prevalent clinical challenge.
- A significant percentage of patients undergoing arteriography for suspected cardiac pain have normal coronary arteries.
- Gastro-oesophageal reflux disease is a primary cause of esophageal chest pain, accounting for up to 60% of cases.
Purpose of the Study:
- To highlight the frequency of non-cardiac chest pain.
- To emphasize the role of esophageal dysfunction, particularly gastro-oesophageal reflux disease, in non-cardiac chest pain.
- To underscore the diagnostic complexity and prognostic factors in non-cardiac chest pain.
Main Methods:
- Review of clinical presentations of non-cardiac chest pain.
- Analysis of diagnostic work-up for patients with chest pain.
- Evaluation of etiological factors, focusing on esophageal sources.
Main Results:
- 10-50% of patients with anginal pain symptoms show normal coronary arteries upon arteriography.
- Up to 60% of non-cardiac chest pain cases are attributed to esophageal origins, predominantly gastro-oesophageal reflux disease.
- Excluding cardiac disease and identifying esophageal causes can necessitate extensive investigations.
Conclusions:
- Non-cardiac chest pain is frequently linked to esophageal conditions, especially gastro-oesophageal reflux disease.
- A thorough diagnostic process is crucial for differentiating cardiac from non-cardiac chest pain.
- Patient outcomes are influenced by the specific diagnosis and their subjective experience of symptoms.
More Related Videos
05:58Testing Acetylcholine Followed by Adenosine for Invasive Diagnosis of Coronary Vasomotor Disorders
Published on: February 3, 2021
4.1K
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.7K
Related Concept Videos
01:20Angina V: Nursing Management
278
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
278
01:29Angina III: Clinical Manifestations and Assessment
188
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
188
01:30Angina I: Introduction
444
Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...
444
01:30Coronary Artery Disease III: Clinical Manifestations
307
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
307
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
325
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
325
01:19Pericarditis II: Clinical Features and Diagnostic Tests
267
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
267