Is Noncardiac Chest Pain Truly Noncardiac?
Many causes of noncardiac chest pain (NCCP) have been studied and gastroesophageal reflux disease is considered to be the major cause. However, studies have reported that treatment with a proton pump inhibitor does not effectively provide relief for NCCP-related symptoms, and these symptoms frequent...
| Publicado en: | Clinical Medicine Insights: Cardiology Vol. 14; pp. 1 - 6 |
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| Autores principales: | , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
6/15/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143805754&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143805754 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795468 B3KL jtl: Clinical Medicine Insights: Cardiology issn: 11795468 maglogo: Y pubinfo: dt: 6/15/2020 vid: 14 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 143805754 143805754 143805754 10.1177/1179546820918903 143805754 ppf: 1 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Is Noncardiac Chest Pain Truly Noncardiac? aug: au: Teragawa, Hiroki Oshita, Chikage Orita, Yuichi affil: Department of Cardiovascular Medicine, JR Hiroshima Hospital, Hiroshima, Japan sug: subj: Chest Pain Pathology Gastroesophageal Reflux Etiology Angina Pectoris Risk Factors Chest Pain Diagnosis Cardiovascular Diseases Diagnosis Biological Markers Electrocardiography Exercise Tomography, X-Ray Computed Diagnostic Imaging Magnetic Resonance Imaging Coronary Angiography Proton Pump Inhibitors Therapeutic Use ab: Many causes of noncardiac chest pain (NCCP) have been studied and gastroesophageal reflux disease is considered to be the major cause. However, studies have reported that treatment with a proton pump inhibitor does not effectively provide relief for NCCP-related symptoms, and these symptoms frequently recur. These findings suggest that patients with cardiac disease may be excluded completely from the NCCP group. Several examinations can be conducted to verify the presence of cardiac disease. Such examinations include the assessment of biochemical markers, rest and exercise electrocardiogram, echocardiography, cardiac computed tomography, stress myocardial perfusion imaging, cardiac magnetic resonance imaging, and coronary angiography (CAG). However, the presence of functional coronary artery diseases (CADs), such as vasospastic angina and/or microvascular angina, cannot be detected using these modalities. These functional CADs can be diagnosed by CAG with spasm-provocation testing and/or physiological coronary measurement. Thus, when a patient who is suspected of having NCCP takes a proton pump inhibitor and does not respond well, further examination—including assessment for possible functional CADs—may be needed. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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