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November 12, 1982JAMA

'Esophageal Angina' as the Cause of Chest Pain

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Why the study?

What is the prevalence of esophageal disease as the cause of anginal pain in emergency patients with anterior chest pain?

Population

100 consecutive medical emergency patients with anterior chest pain

Design

Cohort

Authors

HDHuw DaviesJohn Innes Centre

Discussion

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Implication

Esophageal evaluation may be considered after normal cardiac testing; leaves open whether routine use improves outcomes in emergency chest pain.

Structured PICO

What is the prevalence of esophageal disease as the cause of anginal pain in emergency patients with anterior chest pain?

P
Population
100 consecutive medical emergency patients with anterior chest pain
I
Intervention
Esophageal investigations (endoscopy with biopsy, manometry, radiology, and acid perfusion)
O
Outcome
Prevalence of esophageal disease as the cause of anginal pain

Esophageal disease is a significant cause of anginal-type chest pain in emergency patients, highlighting the importance of esophageal investigations when cardiac causes are ruled out.

Cite This Study

Huw Davies (1982) studied this question.

synapsesocial.com/papers/6a88585cceefe68dba4fcdbdhttps://doi.org/10.1001/jama.1982.03330180034028
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1‘Angina’ and normal coronary arteriograms: a follow-up study1980 · 66 citations
  2. 2Prognosis of patients with "chest pain ?cause".1981 · 68 citations
  3. 3Oesophageal spasm and angina : diagnostic value of ergometrine (ergonovine) provocation1980 · 37 citations
  4. 4Non‐Infarction Coronary Care Unit Patients1981 · 29 citations
  5. 5Paradox of Normal Selective Coronary Arteriograms in Patients Considered to Have Unmistakable Coronary Heart Disease1967 · 414 citations