DiagnosisHealth.com Home        Other Articles       Health Discussions     Disease Information Center


About the author:

Dr. Minocha  is a practicing gastroenterologist and author of "Natural Stomach Care: Treating and Preventing Digestive Disorders with Best of Eastern and Western Therapies"


Read Daily Angina Like Chest Pain  Health News/Tips Here

Many otherwise healthy patients continue to suffer from angina like chest pain even after the investigations for heart disease are normal. This recurrent chest pain in patients despite no apparent heart abnormality is not a new diagnosis. Physicians have been confronted with it for centuries.


bulletThe cause, despite extensive research continues to evade medical science. The relative significance of abnormalities seen in the coronary microcirculation, esophageal motility, acid reflux and psychological and psychiatric problems (panic disorder, anxiety disorder etc.) and mental stress need to be resolved. Recent studies implicate a heightened state of nociperception in the pathogenesis, angina, anxiety, and mental stress reflux.


bulletThe chest pain of GERD can feel like atypical or many a times typical angina or heart attack promting many patients to rush to the emergency room. Many a times, neither a patient or physician can distinguish the pain related to GERD from the heart attack. Remember, heart attack can kill, but not the GERD attack, so it is important not to jump to the conclusion that the pain is caused by acid reflux. 

                                                         angina, anxiety, mental stress reflux

bulletA cardiac etiology must always be excluded first to a reasonable degree of certainty. Once a life threatening cardiac etiology as been ruled out, we can focus on reassurance along with continued work up and treatment, bearing in mind -first do no harm. In particular, excessive drug therapy and potentially dangerous surgeries should be avoided. Aggressive stomach acid suppression is helpful in Gastro-esophageal Reflux Disease (GERD), while antidepressants (like imipramine) have shown promise in otherwise unexplained cases of chest pain.


bulletDespite significant morbidity and health care cost, long term prognosis of patients with chest pain and normal coronary angiograms is excellent.



                                                                            Questions?? Click Here to Disscuss


>>Click Here to Read About Dr. Minocha 

angina, anxiety heart attack

This article is meant to be an informational exercise and NOT a medical consultation. Your doctor is the only one who can best assess your situation and offer you medical advice


>>Other Health and Home Page

A message to all visitors and participants:    Contents of this site are meant for educational and discussion purpose only and should not, in any case, be substituted for a medical consultation.  The information posted or linked to this site should not be used to diagnose or treat a health problem. Your doctor is the only one who can best assess your health situation and give you a medical advice. No responsibility/liability can be accepted for any posted or linked information and  use or misuse thereof. Inclusion on this site in no way implies endorsement for a particular organization, products and/or person/persons and their work. Must read disclaimer....

Copyright´┐Ż 1999-  by diagnosis health. All rights reserved.

angina, heart attack, high cholestrol, heart disease, minocha, gastro esophageal reflux disease, acid reflux, chest pain