Naslov
Recurrent chest pain in patient with normal coronary angiogram

Autori
Čirko, S ; Jurčić, Dragan ; Bilić, Antonija ; Bevanda, Milenko ; Matek, Petar.

Izvornik
Croatian journal of gastroenterology and hepatology (0353-9296) 5 (1996), 4; 95-98

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
motilitet jednjaka; gastroezofagealni refluks; bol u prsima; pH-monitoring
(esophageal motility; gastroesophageal reflux disease; chest pain; pH-monitoring)

Sažetak
Recurring chest pain is an important clinical problem and dilemma because of the possibility of cardiac disease. Non-cardiac chest pain is guite common. According to the different studies overall prevalence for esophageal diseases as causes of chest pain is from 18% to 58% of patients with chest pain and normal coronary arteries. Although esophageal motility disorders are primary esophageal cause of non-cardiac chest pain, recent studies suggest that gastroesophageal reflux disease could be more common than it is believed. In our case we report a patient with recurring angina like chest pain, hypertension, positive familial history for myocardial infarction and hypertension, and long term history of cigarette smoking. We performed standard diagnostic tests including coronary angiogram to exclude cardiac origin of chest pain. All of these tests were negative. Finally, esophageal manometry and prolonged pH-metry revealed gastroesophageal reflux disease. After that, the patient is underwent rigorous antireflux regimen, including proton pump inhibitor and prokinetic agent, and recurrent attacks of chest pain disappeared.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA