Chest pain and non-respiratory symptoms in acute asthma

Edmondstone, W M

doi:10.1136/pmj.76.897.413

Cited by 22 publications

(13 citation statements)

References 4 publications

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“…However, the sensation of chest tightness, chest pain and dyspnoea are also symptoms reported by asthmatics [7]. The triggers exertion, stress or exposure to cold are also associated with asthma attacks and alleviation by rest is described for exercise-induced asthma [8,9].…”

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confidence: 99%

Bronchial asthma causing symptoms suggestive of angina pectoris

Kiss

Veegh²,

Schragel³

et al. 2003

Eur Respir J

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Many patients undergoing pharmacological stress echocardiography for assessing symptoms suggestive of coronary artery disease are found to have a normal test. This study was performed to evaluate whether asthma symptoms simulate angina pectoris.A total 41 consecutive patients who had a negative pharmacological stress echocardiography and had been evaluated for angina pectoris were studied. Patients with previously known coronary artery disease or obstructive lung disease were excluded. Lung function testing was performed and the authors proceeded either with the administration of a bronchodilator or with methacholine challenge testing. A questionnaire was applied to assess the symptoms dyspnoea, chest tightness and substernal burning at the end of the challenge test. In addition, patients were asked if they were experiencing those symptoms that made them seek medical attention. From the 41 patients tested, 26 patients showed a significant bronchial hyperreactivity (mean ¡ SD provocative concentration causing a 20% fall in the forced expiratory volume in one second 5.93¡4.50 mg?mL -1 ). A total of 20 patients confirmed having those symptoms that led to cardiac evaluation.It was concluded that symptoms suggestive of angina pectoris might represent bronchial asthma. This should be considered in the differential diagnosis of angina pectoris.

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confidence: 99%

Bronchial asthma causing symptoms suggestive of angina pectoris

Kiss

Veegh²,

Schragel³

et al. 2003

Eur Respir J

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“…Esophageal motor disorders can also cause chest pain by a mechanism separate from gastroesophageal reflux [5]. Furthermore, non-respiratory symptoms such as chest pain are common symptoms of an asthma attack prodrome and become more frequent after the onset of the attack [41]. Future studies that investigate chest pain in the setting of GERD and asthma should take into account these contradictions.…”

Section: Discussionmentioning

confidence: 99%

Gastroesophageal reflux disease in our asthma patients: the presence of dysphagia can influence pulmonary function

Aras

Kanmaz

Kadakal

et al. 2012

Multidiscip Respir Med

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BackgroundThe prevalence of Gastroesophageal Reflux Disease (GERD) in Turkey is reported as 11.6%. Studies of pulmonary function in asthmatics have demonstrated a correlation between lung resistance and the occurrence of spontaneous gastroesophageal reflux. Few studies have included measures of lung diffusing capacity for carbon monoxide. The aim of this study is to assess whether asthma patients had worse lung function and gas diffusion according to diversity of GERD symptoms they concurrently experienced. The secondary aim of the study is to determine the frequency and different faces of GERD in our asthma patients compared to healthy controls.MethodsSixty consecutive asthma patients evaluatd at the pulmonary specialty outpatient clinic were included in the study. The control group included 60 healthy volunteers who had normal pulmonary function and routine laboratory tests. A modified version of a self-reported questionnaire developed by Locke and associates at the Mayo Clinic was conducted face-to-face with consecutive asthma patients and control subjects. Pulmonary function measurements were taken using spirometry. DLCO (mL/dk/mmHg) and DLCO/VA (DLCO adjusted according to alveolar volume) were measured using a single-breath technique. Statistical analyses were performed using the SPSS 17.0 statistical software.ResultsDLCO and DLCO/VA were significantly lower in asthma patients who had dysphagia symptoms. Frequent and significant acid regurgitations were seen in 28.33% (n = 17) of patients in the study group and 6.7% (n = 4) of patients in the control group. Severe, troublesome heartburn symptoms were reported by 28.2% (n = 17) of patients in the study group and 16.7% (n = 10) of subjects in the control group. Dysphagia was detected in 38.3% (n = 23) of all asthma cases and in 1.7% (n = 1) of the subjects in the control group.ConclusionsThere were many faces of gastroesophageal reflux disease in our asthmatic patients. Dysphagia was the only GERD symptom influencing on pulmonary function tests, while gastroesophageal reflux symptoms and nocturnal awakening attacks were common in this study.

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“…Asthma and exercise-induced bronchospasm are common causes of respiratory pain, although it is more often described as chest tightness or discomfort 13 16 17. Asthma-associated chest pain is usually benign and may be due to dyspnoea, hyperinflation, cough or muscle strain; rarely it is secondary to more serious acute causes such as a pneumothorax or pneumomediastinum 16.…”

Section: Causes Of Recurrent Chest Painmentioning

confidence: 99%