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CASE REPORT
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 22-23

Chest pain…? Not always the heart…!


1 Department of Anesthesiology, District Government Hospital, Tumkur, Karnataka, India
2 Department of Pain Medicine, Daradia Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Bijay Mallikarjun
Department of Anesthesiology, District Government Hospital, Tumkur, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0128

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It has become problematic that the number of noncardiac chest pain (NCCP) patients is increasing among those who come to the emergency room with chest pain as a chief complaint. They tend to come to hospitals often and over many years, even after cardiac chest pain has been excluded from their diagnosis. Moreover, studies have shown that NCCP patients have a high prevalence of anxiety, depression, and disability. However, most NCCP patients are usually treated by cardiologists or primary physicians. Ordinary biomedical approaches often fail to treat NCCP. NCCP is one of the most important functional somatic syndromes from the view of medical economics. The cause of NCCP includes gastroesophageal reflux disease (most common), panic disorder, and esophageal dysmotility.


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