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21 Possible Causes for Non-Cardiac Chest Pain, Tertiary Contractions of the Esophagus

  • Gastroesophageal Reflux Disease

    In addition to typical reflux symptoms, it can also be used for diagnostic purposes in patients with non-cardiac chest pain (NCCP).[ncbi.nlm.nih.gov] Non-cardiac chest pain Enamel erosion or other dental problems What causes gastroesophageal reflux disease?[symptoma.com] Non-cardiac chest pain caused by GORD has been found in up to 50% of patients with chest pain and normal coronary angiography.[patient.info]

  • Nutcracker Esophagus

    Hypercontracting esophagus occurs in 10% of patients with non-cardiac chest pain. Presentation includes chest pain, dysphagia, and gastro-esophageal reflux disease.[radiopaedia.org] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[learningradiology.com] Hypercontracting esophagus occurs in 10% of patients with non-cardiac chest pain. Presentation includes chest pain, dysphagia, and gastro-esophageal reflux disease .[radiopaedia.org]

  • Esophageal Achalasia

    The chest pain experienced, also known as cardiospasm and non-cardiac chest pain can often be mistaken for a heart attack. It can be extremely painful in some sufferers.[en.wikipedia.org] The barium swallow showed a mildly dilated esophagus with tertiary contractions, delayed emptying of the esophagus, and a narrowed gastroesophageal junction ( Fig. 1 ).[jnmjournal.org] […] sequences are the most common motility abnormalities observed in patients with non-cardiac chest pain, 2 the clinical and physiological importance of these sequences is disputed[dx.doi.org]

  • Esophageal Obstruction

    J Visc Surg. 2018 Jun;155(3):247-249. doi: 10.1016/j.jviscsurg.2018.02.002. Epub 2018 Feb 23. Author information 1 Department of digestive and oncological surgery, University Hospital Claude Huriez-Regional University Hospital Center, place de Verdun, 59037, Lille cedex, France; Department of visceral surgery and[…][ncbi.nlm.nih.gov]

  • Esophageal Spasm

    DOS is an unusual cause of non-cardiac chest pain (2%) or dysphagia (4%). It occurs most commonly in patients 50 years old but can occur at any age.[radiopaedia.org] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[learningradiology.com] Theophylline - improved non-cardiac chest pain in one trial, and may relax the oesophageal wall.[patient.info]

  • Esophageal Crohn's Disease

    Nutcracker esophagus Nutcracker esophagus is a non-cardiac cause of chest pain attributed to high amplitude distal esophageal peristalsis.[radiologyassistant.nl] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] […] pain during examination Diffuse esophageal spasm Diffuse esophageal spasm produces intermittent contractions of the mid and distal esophageal smooth muscle, associated with chest[radiologyassistant.nl]

  • Esophageal Ulcer

    Nutcracker esophagus Nutcracker esophagus is a non-cardiac cause of chest pain attributed to high amplitude distal esophageal peristalsis.[radiologyassistant.nl] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] […] pain during examination Diffuse esophageal spasm Diffuse esophageal spasm produces intermittent contractions of the mid and distal esophageal smooth muscle, associated with chest[radiologyassistant.nl]

  • Esophageal Candidiasis

    Nutcracker esophagus Nutcracker esophagus is a non-cardiac cause of chest pain attributed to high amplitude distal esophageal peristalsis.[radiologyassistant.nl] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] […] pain during examination Diffuse esophageal spasm Diffuse esophageal spasm produces intermittent contractions of the mid and distal esophageal smooth muscle, associated with chest[radiologyassistant.nl]

  • Chagas Disease

    Chagas disease or american trypanosomiasis is a zoonosis caused by the protozoan parasite Trypanosoma cruzi. Its major manifestations involve the gastrointestinal and cardiac systems. It is currently the most common cause of non-ischemic cardiomyopathy in South America. Acute phase: There is an incubation period[…][symptoma.com]

  • Cytomegalovirus Esophagitis

    Nutcracker esophagus Nutcracker esophagus is a non-cardiac cause of chest pain attributed to high amplitude distal esophageal peristalsis.[radiologyassistant.nl] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] […] pain during examination Diffuse esophageal spasm Diffuse esophageal spasm produces intermittent contractions of the mid and distal esophageal smooth muscle, associated with chest[radiologyassistant.nl]

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