[The esophagus in patients with coronary disease. A sensitive area not to be neglected].
The authors report the case of a 35 year-old man, suffering from Prinzmetal's angor and stress angor associated to a complicated esophago-gastric reflux. Coronary angiography demonstrates a capillary network well dilated under Trinitrin. The Methergin test is explosive. After failure of calcium inhibitors, the sole treatment of the reflux alleviates the spontaneous pain. From this report, the place of esophageal pathology in coronary patients, the means to recognize it, the role of the reflux in the definition of myocardial ischemia, are discussed.
D000328:Adult; D003327:Coronary Disease / Q000150:complications*; D004935:Esophageal Diseases / Q000175:diagnosis / Q000209:etiology*; D004947:Esophagus / Q000503:physiopathology; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D008297:Male
L'oesophage chez le coronarien. Une épine irritative à ne pas négliger.