Journal on Recent Advances in Pain

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VOLUME 5 , ISSUE 1 ( January-April, 2019 ) > List of Articles

CASE REPORT

Chest Pain…? Not Always the Heart…!

Bijay Mallikarjun, Gautam Das, Abhisesh Shrestha

Keywords : Gastroesophageal reflux disease, Noncardiac chest pain, Numerical rating scale, Pain detect tool, Patient health questionnaire

Citation Information : Mallikarjun B, Das G, Shrestha A. Chest Pain…? Not Always the Heart…!. J Recent Adv Pain 2019; 5 (1):22-23.

DOI: 10.5005/jp-journals-10046-0128

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

It has become problematic that the number of noncardiac chest pain (NCCP) patients is increasing among those who come to the emergency room with chest pain as a chief complaint. They tend to come to hospitals often and over many years, even after cardiac chest pain has been excluded from their diagnosis. Moreover, studies have shown that NCCP patients have a high prevalence of anxiety, depression, and disability. However, most NCCP patients are usually treated by cardiologists or primary physicians. Ordinary biomedical approaches often fail to treat NCCP. NCCP is one of the most important functional somatic syndromes from the view of medical economics. The cause of NCCP includes gastroesophageal reflux disease (most common), panic disorder, and esophageal dysmotility.


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  2. Kachintorn U. How do we define non-cardiac chest pain?J Gastroenterol Hepatol 2005 Dec;20(Suppl):S2–S5. DOI: 10.1111/j.1440-1746.2005.04164.x.
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