Evaluation and management of patients with noncardiac chest pain.
AuthorShekhar, C; Whorwell, PJ
Source TitleGastroenterology Research and Practice
University of Melbourne Author/sShekhar, Chander
Document TypeJournal Article
CitationsShekhar, C. & Whorwell, P. J. (2008). Evaluation and management of patients with noncardiac chest pain.. Gastroenterol Res Pract, 2008, pp.708218-. https://doi.org/10.1155/2008/708218.
Access StatusOpen Access
Open Access at PMChttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672159
Up to a third of patients undergoing coronary angiography for angina-like chest pain are found to have normal coronary arteries and a substantial proportion of these individuals continue to consult and even attend emergency departments. Initially, these patients are usually seen by cardiologists but with accumulating evidence that the pain might have a gastrointestinal origin, it may be more appropriate for them to be cared for by the gastroenterologist once a cardiological cause has been excluded. This review covers the assessment and management of this challenging condition, which includes a combination of education, reassurance, and pharmacotherapy. For the more refractory cases, behavioral treatments, such as cognitive behavioral therapy or hypnotherapy, may have to be considered.
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