title: Managing the patient with atypical chest pain.
abstract: Since angina and heartburn can feel the same, excluding cardiac disease may be the first order of business. That done, clinical findings and laboratory tests can help identify the esophageal disturbance. Gastric acid reflux, motility disorders, and visceral nerve hypersensitivity--alone or in combination--can cause chest pain, and each may call for a different pharmacologic regimen.
authors.affiliation: Department of Medicine, University of California, Irvine, USA.
authors.forename: W J
authors.initials: WJ
authors.lastname: Snape
mesh_terms: D018759:Adrenergic Uptake Inhibitors / Q000627:therapeutic use*; D000465:Algorithms; D000639:Amitriptyline / Q000627:therapeutic use; D000897:Anti-Ulcer Agents / Q000627:therapeutic use*; D001285:Atropine / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology*; D020117:Cisapride; D003937:Diagnosis, Differential; D015154:Esophageal Motility Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D004942:Esophagitis, Peptic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D010276:Parasympatholytics / Q000627:therapeutic use*; D010880:Piperidines / Q000627:therapeutic use; D019518:Postprandial Period
chemical_list: D018759:Adrenergic Uptake Inhibitors; D000897:Anti-Ulcer Agents; D010276:Parasympatholytics; D010880:Piperidines; D000639:Amitriptyline; D001285:Atropine; D020117:Cisapride