background: non-cardiac chest pain (nccp) presents as a frequent diagnostic challenge, with patients tending to use a disproportionate level of health care resources. gastroesophageal reflux disease (gerd) is the most frequent cause of nccp. thus the typical symptoms of reflux like heartburn and regurgitation, when present as predominant symptoms are quite specific for diagnosing gerd patients ...

BACKGROUND Seventeen to 43% of patients with non-cardiac chest pain suffer from anxiety/panic disorders. Cognitive behavioural therapy (CBT) is effective in reducing non-cardiac chest pain. However, no data are available indicating that pain reduction following CBT may be cognitively mediated or whether success of CBT is dependent on the presence of panic. The aim of the study was threefold: (1...

Introduction: Chest pain is a common complaint in children. In this retrospective study we investigated the clinical and etiological characteristics recurrence rates of chest large cohort patients. Material Method: This enrolled children under age 18 years who admitted to our pediatrics pediatric cardiology departments with chief pain. The medical files laboratory data patients were retrospecti...

Introduction: Psychological symptoms of non-cardiac chest pain (NCCP) including perceptual, emotional, and behavioral problems can effect patient perception of chest pain. This study was conducted to determine the effect of metaphor therapy on mitigating depression, anxiety, stress, and pain discomfort in patients with NCCP. Materials and Methods: This randomized, controlled, trial was conducte...

BACKGROUND The aim of this study was to assess the frequency of chest pain presentations and the subsequent non-cardiac chest pain diagnoses in an emergency department (ED) over a 3 year period. METHODS Administrative data on ED attendances to an urban general hospital in Northern Ireland between March 2013 and March 2016 were used. Data were coded and analysed to estimate frequencies of 'che...

Five different tests were used to evaluate oesophageal function in 22 patients who presented to a cardiac unit with acute chest pain but whose cardiological investigations were negative. Eight patients had an abnormality on oesophagoscopy, 10 had an abnormal pH monitoring study, six had a positive acid infusion test, 10 had an abnormal manometric study and six had an abnormal oseophageal transi...