Chest Pain

Publication Title: 
BMC pediatrics

BACKGROUND: Emotional difficulties can trigger respiratory symptoms. Thus, children presenting with respiratory complaints may benefit from a psychological intervention. The purpose of this study was to define the proportion of patients referred to a Pediatric Pulmonary Center who may benefit from instruction in self-hypnosis, as a psychological intervention. METHODS: A retrospective chart review was conducted for all newly referred patients to the SUNY Upstate Medical University Pediatric Pulmonary Center during an 18 month period beginning January 1, 2000.

Author(s): 
Anbar, Ran D.
Geisler, Susan C.
Publication Title: 
Gut

BACKGROUND: Non-cardiac chest pain (NCCP) is an extremely debilitating condition of uncertain origin which is difficult to treat and consequently has a high psychological morbidity. Hypnotherapy has been shown to be effective in related conditions such as irritable bowel syndrome where its beneficial effects are long lasting. AIMS: This study aimed to assess the efficacy of hypnotherapy in a selected group of patients with angina-like chest pain in whom coronary angiography was normal and oesophageal reflux was not contributory.

Author(s): 
Jones, H.
Cooper, P.
Miller, V.
Brooks, N.
Whorwell, P. J.
Publication Title: 
Gut
Author(s): 
Palsson, O. S.
Whitehead, W. E.
Publication Title: 
Gut
Author(s): 
Miller, V.
Jones, H.
Whorwell, P. J.
Publication Title: 
The International Journal of Clinical and Experimental Hypnosis

Patients with functional gastrointestinal disorders, such as irritable bowel syndrome, functional dyspepsia, and noncardiac chest pain, can suffer from a range of severe symptoms that often substantially erode quality of life. Unfortunately, these conditions are notoriously difficult to treat, with many patients failing to improve despite being prescribed a wide variety of conventional medications.

Author(s): 
Miller, Vivien
Whorwell, Peter J.
Publication Title: 
Arquivos De Gastroenterologia

CONTEXT: Non-cardiac chest pain or functional chest pain is a syndrome with high prevalence in occidental world. Findings on 15%-30% of coronary angiograms performed in patients with chest pain are normal. Causes significant impact in quality of life of patients and is associated with increased use of the health care facilities. DATA SOURCES: To this review the following data base were accessed: Medline, the Cochrane Library, LILACS. The limit was the last 5 years publications and were selected relevant original articles, reviews, consensus, guidelines and meta-analysis.

Author(s): 
Domingues, Gerson Ricardo de Souza
Moraes-Filho, Joaquim Prado P.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Recurrent chest pain in the absence of coronary artery disease is a common problem that sometimes leads to excess use of medical care. Although many studies examine the causes of pain in these patients, few clinical trials have evaluated treatment. The studies reviewed in this paper provide an insight into the effectiveness of psychological interventions for this group of patients. OBJECTIVES: To investigate psychological treatments for non-specific chest pain (NSCP) with normal coronary anatomy.

Author(s): 
Kisely, Steve R.
Campbell, Leslie Anne
Skerritt, Paul
Yelland, Michael J.
Publication Title: 
Alimentary Pharmacology & Therapeutics

BACKGROUND: Treatment of noncardiac chest pain (NCCP) remains a challenge. This is in part due to the heterogeneous nature of this disorder. Several conditions are associated with NCCP including gastro-oesophageal reflux disease (GERD), oesophageal dysmotility, oesophageal hypersensitivity as well as others. AIM: To determine the currently available therapeutic modalities for NCCP. METHODS: We performed a systematic review of the literature that was published between January, 1980 and March, 2011. We identified 734 studies; 68 of them met entry criteria.

Author(s): 
Hershcovici, T.
Achem, S. R.
Jha, L. K.
Fass, R.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Recurrent chest pain in the absence of coronary artery disease is a common problem that sometimes leads to excess use of medical care. Although many studies examine the causes of pain in these patients, few clinical trials have evaluated treatment. The studies reviewed in this paper provide an insight into the effectiveness of psychological interventions for this group of patients. OBJECTIVES: To update the previously published systematic review.

Author(s): 
Kisely, Steve R.
Campbell, Leslie Anne
Yelland, Michael J.
Paydar, Anita
Publication Title: 
Clinical Gastroenterology and Hepatology: The Official Clinical Practice Journal of the American Gastroenterological Association

BACKGROUND & AIMS: Chest pain is a common and frightening symptom. Once cardiac disease has been excluded, an esophageal source is most likely. Pathophysiologically, gastroesophageal reflux disease, esophageal dysmotility, esophageal hypersensitivity, and anxiety disorders have been implicated. However, treatment remains a challenge. Here we examined the efficacy and safety of various commonly used modalities for treatment of esophageal (noncardiac) chest pain (ECP) and provided evidence-based recommendations.

Author(s): 
Coss-Adame, Enrique
Erdogan, Askin
Rao, Satish S. C.

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