Why the study?
Does surgical correction of a hiatal hernia improve chest pain and ECG changes in a patient with concurrent coronary insufficiency?
Does surgical correction of a hiatal hernia improve chest pain and ECG changes in a patient with concurrent coronary insufficiency?
This case report suggests the existence of a viscerocardiac reflex where hiatal hernia distention can induce angina-like pain and ischemic ECG changes that are resolved by hernia repair.
Hernia repair may relieve distention-induced symptoms despite coronary disease; single case leaves open broader applicability.
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Morris et al. (1963) studied this question.
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