Open AccessNon-Cardiac Chest Pain
Author(s) -
Thomas Frieling
Publication year - 2018
Publication title -
visceral medicine
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.598
H-Index - 17
eISSN - 2297-475X
pISSN - 2297-4725
DOI - 10.1159/000486440
Subject(s) - chest pain , medicine , gerd , achalasia , angina , esophagus , esophageal motility disorder , coronary artery disease , esophageal spasm , intensive care medicine , disease , reflux , myocardial infarction
Non-cardiac chest pain (NCCP) is recurrent angina pectoris-like pain without evidence of coronary heart disease in conventional diagnostic evaluation. The prevalence of NCCP is up to 70% and may be detected (in this order) at all levels of the medical health care system (general practitioner, emergency department, chest pain unit, coronary care). Reduction of quality of life due to NCCP is comparable, and partially even higher, to that caused by cardiac chest pain. Reasons for psychological strain are symptom recurrence in approximately 50%, nonspecific diagnosis with resulting uncertainty, and insufficient integration of other medical disciplines in the diagnostic workup.