Noncardiac chest pain Review uri icon

Overview

MeSH Major

  • Chest Pain
  • Gastroesophageal Reflux
  • Proton Pump Inhibitors

abstract

  • The clinical approach to the patient with unexplained chest pain is complex, as the history does not clearly separate cardiac from noncardiac etiologies. After a careful work-up has excluded coronary artery disease, a systematic search for an esophageal etiology is the next step. Gastroesophageal reflux disease (GERD) is most commonly associated with noncardiac chest pain and should be the first diagnosis pursued. A therapeutic trial of antisecretory therapy with proton-pump inhibitors is the most efficient initial approach to diagnosis and therapy of GERD-related chest pain and can easily be instituted by a cardiologist familiar with the optimal use of proton-pump inhibitors.

publication date

  • December 2005

Research

keywords

  • Review

Identity

Language

  • eng

PubMed ID

  • 17710075

Additional Document Info

start page

  • S32

end page

  • 9

volume

  • 6

number

  • SUPPL. 4