Non-Cardiac Chest Pain

  • – Recurrent angina-like substernal chest pain of non-cardiac origin

 

  • GERD-related abnormalities in Non-cardiac chest pain:
    • – GRRD
    • – Abnormal acid exposure
    • – Esophagitis

     

    Features of Esophageal chest pain: 

    • – Mimics angina
    • – Squeezing/Burning
    • – Substernal
    • – Radiating to back, jaw, neck
    • – Worse after meal
    • – Lasts minutes to hour
    • – Intermittent
    • – Resolves with antacid
    • – No shortness of breath

     

    Diagnostic tests for GERD related Chest pain:

    • – PPI test
    • – Barium study
    • – Endoscopy/ Manometry
    • – Ambulatory PH monitoring

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