Evaluation of esophageal function in patients with central chest pain.
Evaluation of esophageal function in patients with central chest pain.
复制标题
中枢性胸痛患者食管功能的评估。
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
C. Pope
中科院分区：
文献类型：
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作者：
D. Brand;R. Ilves;C. Pope
本文对160例临床表现类似心肌缺血的中枢性胸痛患者进行了食管运动功能检查。63例患者出现高振幅、长时间蠕动波、弥漫性痉挛或同时性收缩的运动异常，其中14例患者的运动模式与胸痛有直接相关性；另外14例患者使用腔内酸后疼痛重现。临床标准不能区分食管疼痛与其他症状。食管功能检查有助于诊断中心性胸痛，但敏感性较低。
Esophageal motor function test were performed in 160 patients presenting with central chest pain clinically resembling myocardial ischemia. Motor abnormalities consisting of high amplitude, long duration peristaltic waves, diffuse spasm, or simultaneous contractions were found in 63 of those patients Direct correlation of the motor patterns with chest pain was possible in fourteen patients; another fourteen patients had reproduction of their pain with intraluminal acid. Clinical criteria could not differentiate those with esophageal pain form others. Esophageal function test can help in the diagnosis of central chest pain, but they have low sensitivity.