NONCARDIAC CHEST PAIN

NONCARDIAC CHEST PAIN is a topic covered in the Harrison's Manual of Medicine.

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Of pts presenting with chest pain, 30% have an esophageal source rather than angina. History and physical examination often cannot distinguish cardiac from noncardiac pain. Exclude cardiac disease first. Causes include the following: gastroesophageal reflux disease, esophageal motility disorders, peptic ulcer disease, gallstones, psychiatric disease (anxiety, panic attacks, depression).

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