Evaluation and management of patients with noncardiac chest pain.

Gastroenterology Research and Practice
C Shekhar, P J Whorwell

Abstract

Up to a third of patients undergoing coronary angiography for angina-like chest pain are found to have normal coronary arteries and a substantial proportion of these individuals continue to consult and even attend emergency departments. Initially, these patients are usually seen by cardiologists but with accumulating evidence that the pain might have a gastrointestinal origin, it may be more appropriate for them to be cared for by the gastroenterologist once a cardiological cause has been excluded. This review covers the assessment and management of this challenging condition, which includes a combination of education, reassurance, and pharmacotherapy. For the more refractory cases, behavioral treatments, such as cognitive behavioral therapy or hypnotherapy, may have to be considered.

References

Jan 1, 1991·European Journal of Clinical Pharmacology·I Konrad-DalhoffJ Kuhlmann
Jan 1, 1991·Gastrointestinal Endoscopy·P C HsiaS B Benjamin
Mar 1, 1990·European Journal of Immunology·M A Muñoz-FernándezM Fresno
Aug 1, 1988·The American Journal of Cardiology·P M SchofieldD H Bennett
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
May 19, 1994·The New England Journal of Medicine·R O CannonM A Waclawiw
Nov 1, 1996·Digestive Diseases and Sciences·S C KadakiaR T Shaffer
Mar 1, 1997·Clinical Cardiology·R P Fleet, B D Beitman
Sep 23, 1997·Psychological Medicine·R A MayouC Forfar
Apr 21, 1999·QJM : Monthly Journal of the Association of Physicians·S G PottsE C Johnstone
May 4, 1999·The American Journal of Medicine·A S van Peski-OosterbaanH G Rooijmans
Jun 22, 1999·International Journal of Psychiatry in Medicine·L R WulsinV E Wells
Jan 12, 2000·Digestive Diseases and Sciences·C Prakash, R E Clouse
Nov 4, 2000·The American Journal of Medicine·J L JacksonK Kroenke
Dec 21, 2000·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S HollerbachG Tougas
Nov 28, 2002·Gastroenterology·Olafur S Palsson, William E Whitehead
Apr 6, 2004·Gastroenterology Clinics of North America·Anthony R Hobson, Qasim Aziz
Apr 6, 2004·Gastroenterology Clinics of North America·Sami R Achem
Aug 21, 2004·Journal of Clinical Gastroenterology·Ronnie Fass
Jun 3, 2005·The American Journal of Gastroenterology·Filippo CremoniniNicholas J Talley
Dec 1, 2005·The International Journal of Clinical and Experimental Hypnosis·Peter J Whorwell
May 9, 2006·Gastroenterology·Jean Paul GalmicheAndre J P M Smout
Jul 20, 2006·The American Journal of Gastroenterology·Frank ZerbibDaniel Sifrim
Feb 15, 2007·British Journal of Clinical Pharmacology·Jeff HughesAndrew Joyce
Feb 23, 2007·The American Journal of Gastroenterology·Satish S C RaoBridget Zimmerman
May 11, 2007·The American Journal of Gastroenterology·Sami R Achem
Oct 24, 2007·Gastroenterology Clinics of North America·Benson T Massey
Jan 8, 2008·Alimentary Pharmacology & Therapeutics·A J P M Smout
Mar 28, 2008·Journal of Clinical Gastroenterology·Ronnie Fass, Tomás Navarro-Rodriguez

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.