Noncardiac chest pain update

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Noncardiac chest pain update

I’ve just posted an update regarding noncardiac chest pain. Oesophageal disorders, particularly GORD, account for the majority of cases of noncardiac chest pain. A patient presenting with chest pain will need to have cardiac causes excluded. Some clinical features which suggest an oesophageal rather than cardiac cause include chest pain which is nonexertional, long lasting, meal related and disruptive of sleep. Once chest pain is considered noncardiac, an empirical trial of high dose PPI for 4-6 weeks may be considered. If a patient does not respond to empirical treatment with PPI, consider further assessment with 24 hour pH probe and oesophageal manometry.




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