非心源性食道胸痛——综述

Andra M.C. Negru, D. Dumitrascu
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摘要

摘要背景和目的。非心脏性胸痛(NCCP)是一种被描述为急性、复发或慢性胸痛的医学状况,当心脏来源被排除时,很难与缺血性胸痛区分开来。非心脏性胸痛在胃肠病实践中是一种具有挑战性的临床情况,有时需要对特定诊断进行大量的临床研究。在某些情况下,病因以食道疾病为代表。本综述旨在介绍NCCP食管起源的最新知识。方法。在包含医学出版物的主要数据库中进行了搜索。使用了以下搜索术语:非心脏性胸痛、食管胸痛(ECP)、病理生理学、非心脏胸痛病因、胃食管反流病(GERD)、运动性食管疾病、功能性胸痛。包括观察性研究。仅描述心脏胸痛的研究被排除在外。后果非心脏性胸痛需要在临床实践中精确识别体征、症状和诊断测试。由于后续护理的财务限制,应遵循基于临床非心脏性胸痛指南的准确算法。食道胸痛是一个具有挑战性的诊断。结论。非心脏性胸痛是一种普遍且令人担忧的症状。一旦排除了心脏来源,就应该考虑食道胸痛的病因。
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Noncardiac Esophageal Chest Pain -A Comprehensive Review
Abstract Background and aim. Noncardiac chest pain (NCCP) is a medical condition described as acute, recurrent, or chronic chest pain, that is difficult to distinguish from ischemic heart pain, when the cardiac source has been excluded. Noncardiac chest pain represents a challenging clinical situation in gastroenterology practice, requiring sometimes a high amount of clinical investigation for a specific diagnostic. In some cases, the etiology is represented by esophageal diseases. This review aims to present the updated knowledge of the esophageal origin of NCCP. Methods. A search was performed in the main databases containing medical publications. The following search terms were used: noncardiac chest pain, esophageal chest pain (ECP), pathophysiology, noncardiac chest pain etiology, gastroesophageal reflux disease (GERD), motility esophagus disorders, functional chest pain. Observational studies were included. Studies that described only cardiac chest pain were excluded. Results. Noncardiac chest pain requires precise recognition of signs, symptoms and diagnostic testing in clinical practice. Due to financial constraints on subsequent care, an accurate algorithm based on clinical noncardiac chest pain guidelines should be followed. Esophageal chest pain represents a challenging diagnosis. Conclusions. Noncardiac chest pain is a prevalent and alarming symptom. Esophageal chest pain etiology should be considered once a cardiac source has been excluded.
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