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November 1, 2001GutOpen Access

Cardiac autonomic function and oesophageal acid sensitivity in patients with non-cardiac chest pain

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Why the study?

Does oesophageal acid infusion alter autonomic function in patients with non-cardiac chest pain?

Population

28 patients with non-cardiac chest pain, mean age 40.5 years, 13 females, and 10 matched healthy controls.

Comparison

Oesophageal acidification (0.1 N HCl infusion) vs Baseline and matched healthy controls

Design

Case-control

Authors

GTGervais Tougas

Discussion

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Overview

Suggests autonomic differences in acid-sensitive non-cardiac chest pain; hypothesis-generating for mechanisms and requires prospective validation before clinical use.

Structured PICO

Does oesophageal acid infusion alter autonomic function in patients with non-cardiac chest pain?

P
Population
28 patients with non-cardiac chest pain (NCCP), mean age 40.5 (SD 10) years, 13 females, and 10 matched healthy controls.
I
Intervention
Oesophageal acidification (0.1 N HCl infusion)
C
Comparator
Baseline (before infusion) and matched healthy controls
O
Outcome
Autonomic activity assessed by power spectral analysis of heart rate variability (PSHRV), including high frequency (HF) and low frequency (LF) powersurrogate

Patients with non-cardiac chest pain who experience angina-like symptoms during esophageal acid exposure have decreased resting vagal activity that paradoxically increases during acid infusion.

Cite This Study

Gervais Tougas (2001) studied this question.

synapsesocial.com/papers/6a8247afe35fc7ca402a5739https://doi.org/10.1136/gut.49.5.706
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Neurocardiac Responses to Vagoafferent Electrostimulation in Humans1992 · 49 citations
  2. 2Visceral afferents: their contribution to ‘sympathetic dependent’ pain1994 · 82 citations
  3. 3Individual Recognition by Heart Rate Variability of Two Different Autonomic Profiles Related to Posture1997 · 101 citations