Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Noncardiac chest pain: where does it start?

A Minocha1

  • 1University of Oklahoma Health Sciences Center, Oklahoma City 73126, USA. anil-minocha@uokhsc.edu

Postgraduate Medicine
|December 1, 1996
PubMed
Summary

Recurrent noncardiac chest pain may stem from heightened visceral sensitivity. Management involves excluding heart issues, avoiding harm, and considering acid suppression or antidepressants for unexplained cases, with an excellent long-term outlook.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Massive gastrointestinal bleeding associated with hookworm infestation in a child: case report.

Pediatric surgery international·2013
Same author

The global paediatric surgery network: early measures of interest in the website.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie·2011
Same author

Despite high satisfaction, majority of gastro-oesophageal reflux disease patients continue to use proton pump inhibitors after antireflux surgery.

Alimentary pharmacology & therapeutics·2006
Same author

Postinfectious gastroparesis related to autonomic failure: a case report.

Neurogastroenterology and motility·2006
Same author

Gastroesophageal reflux disease: the ongoing saga of pill versus knife.

The American journal of gastroenterology·2001
Same author

Lactose intolerance: diagnosis and management.

Comprehensive therapy·2000

Area of Science:

  • Gastroenterology
  • Cardiology
  • Pain Management

Background:

  • Recurrent noncardiac chest pain (NCCP) pathogenesis is poorly understood.
  • Visceral hypersensitivity is a potential contributing factor.
  • Coronary artery disease must be ruled out initially.

Purpose of the Study:

  • To elucidate the potential causes of NCCP.
  • To outline appropriate diagnostic and management strategies.
  • To emphasize the importance of a "first, do no harm" approach.

Main Methods:

  • Literature review of NCCP pathogenesis and management.
  • Discussion of diagnostic exclusion criteria (e.g., coronary atherosclerosis).
  • Evaluation of therapeutic options including pharmacologic interventions.

Main Results:

  • Heightened visceral nociperception is implicated in NCCP.
  • Exclusion of cardiac causes is paramount.
  • Acid suppression and antidepressants show efficacy in specific patient groups.

Conclusions:

  • NCCP management requires careful patient selection and tailored therapy.
  • Avoiding polypharmacy and invasive procedures is crucial.
  • Despite morbidity, the long-term prognosis for NCCP is favorable.

Related Experiment Videos