Esophageal Manometry in Patients with Chest Pain and Normal Coronary Arteriogram.

Esophageal Manometry in Patients with Chest Pain and Normal Coronary Arteriogram.
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胸痛和冠状动脉造影正常的患者的食管测压。

DOI:
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发表时间:
1981
影响因子:
9.8
通讯作者:
H. Jinich
H. Jinich
中科院分区:
医学1区
文献类型:
--
作者:
Ferguson Sc;K. Hodges;T. Hersh;H. Jinich

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食道评估有助于确定胸痛的根源。 72 名冠状动脉造影正常的患者中有 18% 患有食管疾病,这是导致胸痛的原因。八名患有弥漫性食管痉挛,四名患有反流性食管炎,一名患有食管溃疡。八名弥漫性食管痉挛患者中,有五名服用硝酸甘油后症状得到缓解。尽管冠状动脉造影和食管测压正常,但其他 49 名患者中的 42 名患者服用硝酸甘油后胸痛得到缓解。
Evaluation of the esophagus is helpful in determining the source of chest pain. Eighteen per cent of 72 patients with a normal coronary angiogram had esophageal disease as a source of chest pain. Eight had diffuse esophageal spasm, four had reflux esophagitis and one had an esophageal ulcer. Five of eight patients with diffuse esophageal spasm had relief of symptoms with nitroglycerin. Despite normal coronary arteriogram and normal esophageal manometry 42 of 49 other patients had relief of chest pain with nitroglycerin.