GORD strongly linked to non-cardiac chest pain
Gastro-oesophageal reflux disease (GORD) is a major factor in non-cardiac chest pain in both women and men according to a combined UK and Australian review.
The review reported an almost five-fold increase in the odds of non-cardiac chest pain in people who also had symptoms of GORD and this increased according to the frequency of GORD symptoms.
The prevalence of non-cardiac chest pain was higher (16%) in Australian studies compared to an average prevalence across global geographical regions of 13%.
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Non-cardiac Chest Pain - News
Gastro-oesophageal reflux disease (GORD) is a major factor in non-cardiac chest pain in both women and men according to a combined UK and Australian review. The review reported an almost five-fold increase in the odds
Super Clinic Online: Atypical Chest Pain
Chest pain is one of the commonest presenting symptom in any hospital both as an emergency or non emergency. Reaching an accurate diagnosis is very important. The main purpose of evaluation of chest pain is to recognise it as cardiac or non cardiac origin . Cardiac chest pain almost always means ischemic chest pain . That is called angina. (Of course there are few important causes for non ischemic cardiac chest pain which Will be discussed later). . Any physician (or a specialist) should take some effort to localise it. (Muscle, nerve , pleura , anxiety etc) . But generally once these patients are ruled out of cardiac pain they become less special and are simply referred back to their family physician, only to return back with another cardiac pseudo-emergency in a different hospital . They should get a complete physical examination,ECG, and undergo exercise stress test. In the screening of CAD , angina can be termed a hard sign, atypical chest pain is a soft sign, resting ECG is surprisingly a soft sign again (unless you record it during chest pain). Exercise stress testing is the ideal investigation in evaluation of chestpain.( 70-80% accuracy). This can be improved upon by Thallium, SPECT, stress echo etc. As of now coronary angiogram is considered the ultimate gold standard (Not pure gold !) to rule out CAD.
Non-cardiac Chest Pain - Bookshelf
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