Key result
Oesophageal dysfunction was identified in 20 of 28 male patients with angina-like chest pain, indicating it should be considered in such cases.
Why the study?
What is the prevalence of oesophageal dysfunction versus ischaemic heart disease in male patients with angina-like chest pain?
Cross-Sectional (n=28)
What is the prevalence of oesophageal dysfunction versus ischaemic heart disease in male patients with angina-like chest pain?
Oesophageal dysfunction is a common finding and should be considered in male patients presenting with angina-like chest pain.
May warrant oesophageal evaluation in men with angina-like pain; leaves open comparative prevalence versus ischaemia and management impact.
Twenty-eight male patients referred to work ECG due to chest pain, all with a positive oesophageal symptom questionnaire believed to detect oesophageal dysfunction (OD), have been subjected to a graded work test and an oesophageal manometry test and answered a questionnaire believed to detect effort angina. Ischaemic heart disease (IHD) was defined as earlier infarction on ECG at rest or a pathological effort ECG. OD was defined as a positive acid perfusion test, hernia or a clear dysmotility in combination with a lower sphincter incompetence. Twenty patients had a positive effort angina questionnaire. Among these, OD was more common (n = 13) than IHD (n = 8). Five of the 20 patients had signs of both IHD and OD. Eight patients had a negative effort angina questionnaire; OD was found in 7 and IHD in 1 of these patients. It is concluded that in cases with angina-like chest pain OD should be considered.
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Tibbling et al. (1976) conducted a cross-sectional in Angina-like chest pain (n=28). Oesophageal dysfunction was evaluated on Prevalence of oesophageal dysfunction and ischaemic heart disease. Oesophageal dysfunction was identified in 20 of 28 male patients with angina-like chest pain, indicating it should be considered in such cases.
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