The Mexican consensus on non-cardiac chest pain

Gómez-Escudero, O.; Coss‐Adame, Enrique; Amieva-Balmori, Mercedes; Carmona-Sánchez, Ramón; Remes-Troche, José María; Abreu-Abreu, A.T.; Cerda-Contreras, Eduardo; Gómez-Castaños, Paulo César; González-Martínez, M.A.; Huerta-Iga, Francisco; Ibarra-Palomino, Jorge; Icaza-Chávez, M.E.; López‐Colombo, Aurelio; Márquez-Murillo, Manlio F.; Mejía-Rivas, M.; Morales-Arámbula, M.; Rodríguez-Chávez, J.L.; Torres-Barrera, Gustavo; Valdovinos-Garcia, Luis R.; Valdovinos-Díaz, M.A.; Vázquez-Elizondo, Genaro; Villar-Chávez, A.S.; Zavala-Solares, M.R.; Achem, Sami R.

doi:10.1016/j.rgmxen.2019.07.001

Cited by 1 publication

(1 citation statement)

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“…Among patients presenting with NCCP, exclusion of acute coronary syndromes is the priority, followed by gastrointestinal causes. 42 Gastro-oesophageal reflux disease (GORD) has been demonstrated in 29-67% of individuals with NCCP, and frequency of heartburn is an independent risk factor for development of NCCP. 40,[43][44][45] In those without GORD, there is a controversial relationship to oesophageal dysmotility.…”

Section: Clinical Approach and Diagnosismentioning

confidence: 99%

Identifying and managing functional cardiac symptoms

et al. 2021

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Recurring chest pain and other cardiac symptoms that cannot be adequately explained by organic pathology are common and can be associated with substantial disability, distress and high healthcare costs. Common mental disorders such as depression and anxiety frequently co-occur with these symptoms and, in some cases, account for their presentation, although they are not universally present. Due to the frequency of functional cardiac presentations and risks of iatrogenic harm, physicians should be familiar with strategies to identify, assess and communicate with patients about these symptoms. A systematic and multidisciplinary approach to diagnosis and management is often needed. Health beliefs, concerns and any associated behaviours should be elicited and addressed throughout. Psychiatric comorbidities should be concurrently identified and treated. For those with persistent symptoms, psychosocial outcomes can be poor, highlighting the need for further research and investment in diagnostic and therapeutic approaches and multidisciplinary service models.

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