[Non-cardiac thoracic pain. Diagnosis, differential diagnosis and therapy].
In about 50% of the cases, non-cardiac chest pain is due to hypomotile or hypermotile functional disorders of the esophagus. X-ray examination, endoscopy and manometry, possibly with provocation with edrophonium, confirm the diagnosis. Gastro-esophageal reflux is found in 40%, motility disorders in 20%, and an irritable esophagus in 40% of the cases. For diagnosis ex juvantibus, gastroprokinetic drugs or H2-blockers, nitro compounds and calcium antagonists may be useful.
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Medizinische Klinik, Krankenhaus Nordwest der Stiftung Hospital zum Heiligen Geist, Frankfurt/M.
D002637:Chest Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D015154:Esophageal Motility Disorders / Q000150:complications / Q000175:diagnosis; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis; D006801:Humans