» Articles » PMID: 3739062

Investigation of Non-cardiac Chest Pain--which Oesophageal Test?

Overview
Journal Ulster Med J
Specialty General Medicine
Date 1986 Apr 1
PMID 3739062
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

Five different tests were used to evaluate oesophageal function in 22 patients who presented to a cardiac unit with acute chest pain but whose cardiological investigations were negative. Eight patients had an abnormality on oesophagoscopy, 10 had an abnormal pH monitoring study, six had a positive acid infusion test, 10 had an abnormal manometric study and six had an abnormal oseophageal transit scintiscan. Concordance for the three tests of gastro-oesophageal reflux disease was low at 28%, and for the two tests of oesophageal motility only 55%. Only two patients had normal results in all five tests.

Citing Articles

Oesophageal motility, luminal pH, and electrocardiographic-ST segment analysis during spontaneous episodes of angina like chest pain.

Hick D, Morrison J, Casey J, Williams G, Davies G Gut. 1992; 33(1):79-86.

PMID: 1740283 PMC: 1373869. DOI: 10.1136/gut.33.1.79.

References
1.
DeMeester T, OSullivan G, Bermudez G, Midell A, Cimochowski G, ODrobinak J . Esophageal function in patients with angina-type chest pain and normal coronary angiograms. Ann Surg. 1982; 196(4):488-98. PMC: 1352717. DOI: 10.1097/00000658-198210000-00013. View

2.
Bennett J, Atkinson M . The differentiation between oesophageal and cardiac pain. Lancet. 1966; 2(7473):1123-7. DOI: 10.1016/s0140-6736(66)92209-4. View

3.
Roberts R, Henderson R, Wigle E . Esophageal disease as a cause of severe retrosternal chest pain. Chest. 1975; 67(5):523-6. DOI: 10.1378/chest.67.5.523. View

4.
Brandon S . Chest pain in patients with normal coronary arteriograms. Br Med J (Clin Res Ed). 1983; 287(6404):1491-2. PMC: 1549967. DOI: 10.1136/bmj.287.6404.1491. View

5.
Blackwell J, Hannan W, Adam R, Heading R . Radionuclide transit studies in the detection of oesophageal dysmotility. Gut. 1983; 24(5):421-6. PMC: 1419990. DOI: 10.1136/gut.24.5.421. View