PMID: 696416Jan 1, 1978Paper

Oesophageal function and coronary angiogram in patients with disabling chest pain

Acta Medica Scandinavica
O SvenssonB Wranne

Abstract

Sixty-four patients with a history of disabling chest pain belonging to groups III or IV classified according to the NYHA criteria were examined with oesophageal function tests, coronary angiography and bicycle ergometry and also answered a symptom questionnaire. At the exercise test, 52 had effort angina; 45 (89%) of them had a pthological coronary angiogram and 22 (42%) had signs of oesophageal dysfunction (OD). OD as the single possible etiological factor for typical effort angina therefore seemed unlikely. Chest pain was absent or atypical at the exercise test in 12 patients, 11 (92%) of whom had signs of OD. This incidence is significantly higher (p less than 0.01) than that found in the patients with effort-related chest pain. Five (42%) of the 12 patients with atypical chest pain at the exercise test had a pathological coronary angiogram, an incidence which is significantly lower (p less than 0.001) than that found in the group with effort-related chest pain. In patients with a history of disabling chest pain but with atypical chest pain in connection with the exercise test, OD was more frequent than coronary disease and therefore more likely to have caused the symptoms.

References

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Citations

Sep 1, 1995·The British Journal of Surgery·M T CaldwellT P Hennessy
Apr 10, 2010·American Journal of Physiology. Gastrointestinal and Liver Physiology·Chao QinRobert D Foreman
Jan 1, 1981·Acta Medica Scandinavica. Supplementum·L Tibbling
Jan 1, 1981·Acta Medica Scandinavica. Supplementum·D L BrandC E Pope
Jan 1, 1979·Acta Medica Scandinavica·M AreskogB Wranne
Oct 1, 1994·The British Journal of Surgery·M T CaldwellT P Hennessy
Jan 1, 1980·Acta Medica Scandinavica·M AreskogB Wranne
Nov 30, 2000·Current Treatment Options in Gastroenterology·K R DeVault, S R Achem
Jan 1, 1979·Acta Medica Scandinavica·L Tibbling, B Wranne
Jan 1, 1981·Acta Medica Scandinavica. Supplementum·L Tibbling
Dec 1, 1994·Irish Journal of Medical Science·T N Walsh
Jan 1, 1993·Dysphagia·R LorenzM Classen
Mar 1, 1990·Journal of Gastroenterology and Hepatology·R H Holloway
Jan 1, 1986·Acta Medica Scandinavica·A RosengrenL Wilhelmsen
Nov 18, 2003·Alimentary Pharmacology & Therapeutics·S JohanssonL A García Rodríguez
Apr 11, 2009·World Journal of Gastroenterology : WJG·Hirohito KatoMotonobu Sugimoto
Jan 1, 1981·Acta Medica Scandinavica. Supplementum·N H Areskog

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