Marianeschi P M, Bellavigna G, Francucci M, Micheli R, Parisi A, Giustozzi G M, Alberti D, Sciannameo F
Minerva Med. 1986 May 7;77(19):787-92.
Preliminary experience with the combined use of 24 pH-metering and Holter ECG monitoring in the differential diagnosis of angina-like-pain (ALP) is reported. Twenty patients aged 24-65 (15 females and 5 males) all with angina-like-pain were studied. The aim of the study was to differentiate between oesophageal and cardiac causes of the various types of chest pain and to investigate the possibility of their coexistence. 50% of the ALP patients with a negative non-invasive cardiological report presented a pathological gastroesophageal reflux. In 5% of the cases simultaneous coronary insufficiency and pathological gastro-oesophageal reflux was noted. The importance of performing both Holter recordings and pH-metering before subjecting patients to coronarography is therefore emphasised.
报告了24小时pH值测量与动态心电图监测联合用于心绞痛样疼痛（ALP）鉴别诊断的初步经验。研究了20例年龄在24 - 65岁之间的患者（15名女性和5名男性），他们均患有心绞痛样疼痛。该研究的目的是区分各种类型胸痛的食管和心脏病因，并研究它们共存的可能性。50%无创心脏检查报告为阴性的ALP患者存在病理性胃食管反流。在5%的病例中，同时发现冠状动脉供血不足和病理性胃食管反流。因此强调在对患者进行冠状动脉造影之前，同时进行动态心电图记录和pH值测量的重要性。
