Rösch W
Medizinische Klinik, Krankenhaus Nordwest der Stiftung Hospital zum Heiligen Geist, Frankfurt/M.
Fortschr Med. 1991 Feb 10;109(4):113-5.
In about 50% of the cases, non-cardiac chest pain is due to hypomotile or hypermotile functional disorders of the esophagus. X-ray examination, endoscopy and manometry, possibly with provocation with edrophonium, confirm the diagnosis. Gastro-esophageal reflux is found in 40%, motility disorders in 20%, and an irritable esophagus in 40% of the cases. For diagnosis ex juvantibus, gastroprokinetic drugs or H2-blockers, nitro compounds and calcium antagonists may be useful.
在大约50%的病例中，非心源性胸痛是由食管运动功能减退或亢进的功能性障碍引起的。X线检查、内镜检查和测压检查，可能还需用依酚氯铵激发试验，可确诊。40%的病例存在胃食管反流，20%存在运动功能障碍，40%存在食管过敏。为了进行诊断性治疗，促胃肠动力药或H2受体阻滞剂、硝基化合物和钙拮抗剂可能有用。
