Paper Details

  1. Home
  2. Paper Details

Overview of diagnostic testing for chest pain of unknown origin.

Author: RichterJ E

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

Chest pain can be difficult to diagnose, especially when it's not caused by heart problems. While a normal coronary angiogram can rule out significant coronary artery disease, it may not identify microvascular angina. Other common causes include musculoskeletal pain, psychological issues, and esophageal disorders. Nearly 30% of patients experience esophageal motility disorders, but their clinical significance remains unclear. Provocation tests help identify the esophagus as the pain source but often don't guide treatment. Ambulatory esophageal pH and pressure monitoring are more precise, showing gastroesophageal reflux as the main esophageal pain cause. However, many pain episodes lack identifiable causes. Psychological factors like anxiety and depression should be assessed, as they can complicate symptoms.
Paper Details　
Original Abstract of the Article :
Identifying the cause of recurrent chest pain may be difficult. Significant coronary artery disease must be excluded before patients can be assured that their symptoms are truly "noncardiac." A normal coronary angiogram is the most definitive test but this may not preclude the presence of a new "fly...See full text at original site
Dr.Camel IconDr.Camel's Paper Summary Blogラクダ博士について

ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。

* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。


引用元：
https://doi.org/10.1016/0002-9343(92)80055-5

データ提供：米国国立医学図書館（NLM）

Navigating the Labyrinth of Chest Pain

This study embarks on a journey into the intricate world of chest pain of unknown origin. Diagnosing the cause of recurrent chest pain can be like searching for a specific oasis in a vast, endless desert. The authors explore the diagnostic challenges faced by clinicians when dealing with chest pain that doesn't have a clear-cut cause.

A Multifaceted Approach to Chest Pain

The study underscores the importance of ruling out significant coronary artery disease before considering other potential causes. It also highlights the need to be aware of microvascular angina, a less common form of heart disease that can mimic other conditions. In addition to cardiac causes, the study emphasizes the role of musculoskeletal pain, psychological factors, and esophageal disorders, including esophageal motility disorders and gastroesophageal reflux disease (GERD).

The Challenge of Diagnosing and Treating Chest Pain

The study explores the limitations of various diagnostic tests, highlighting the need for more precise and effective tools. It also emphasizes the importance of considering psychological factors that may play a role in chest pain. Just as a desert traveler may experience different emotions as they navigate the landscape, patients with chest pain can experience a complex interplay of physical and psychological factors.

Dr.Camel's Conclusion

This study delves into the complexities of diagnosing and treating chest pain, emphasizing the need for a multidisciplinary approach that considers both physical and psychological factors. The journey toward a definitive diagnosis can be arduous, but with meticulous investigation and thoughtful assessment, clinicians can help patients find relief and navigate the desert of uncertainty.
Date :
  1. Date Completed 1992-07-02
  2. Date Revised 2019-06-26
Further Info :

Pubmed ID

1595763

DOI: Digital Object Identifier

10.1016/0002-9343(92)80055-5

Related Literature

Article Analysis
・Side Effects of bethanechol
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

This site uses cookies. Visit our privacy policy page or click the link in any footer for more information and to change your preferences.