Key result
Advancements in diagnostic techniques and a better understanding of esophageal pathophysiology now enable clinicians to accurately identify the esophagus as the source of chest pain.
Why the study?
How can clinicians differentiate between coronary and esophageal sources of chest pain?
How can clinicians differentiate between coronary and esophageal sources of chest pain?
Careful symptom assessment and modern diagnostic techniques can effectively differentiate esophageal from coronary causes of chest pain.
May aid differentiation of noncardiac chest pain; leaves open prospective validation before practice change.
Although it is often relatively easy for the clinician to differentiate between the heart and the esophagus as sources of chest pain, there remains a substantial minority of patients in whom this task is difficult. We have attempted to review points of differential significance which can be elicited through assessment of the patient's symptoms. Diagnostic studies for the detection of esophageal disorders have been reviewed, and the relative usefulness of these studies has been emphasized. As the result of advancements in diagnostic techniques as well as better understanding of esophageal pathophysiology, the clinician is now capable of accurately identifying the esophagus as the source of chest pain.
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Rosenthal et al. (1977) conducted a review in Chest pain. Advancements in diagnostic techniques and a better understanding of esophageal pathophysiology now enable clinicians to accurately identify the esophagus as the source of chest pain.
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