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(Chest. 1963;43:418-423.)
© 1963 American College of Chest Physicians

Chest Pain of Diffuse Esophageal Spasm Simulating Disease of the Coronary Arteries

Per H. Langsjoen M.D.1; M. E. Salem M.D.1; and N. C. Hightower Jr. M.D.1

1 Cardiovascular Service, Scott and White Memorial Hospital and Scott, Sherwood, and Brindley Foundation, Temple, Texas

1. Diffuse spasm of the esophagus from undetermined cause may produce symptoms of severe chest pain easily confused with the symptoms of coronary artery disease as illustrated in these seven cases.

2. This diagnosis can be made positively by recording various patterns of esophageal dysfunction on esophageal motility studies.

3. The consideration and diagnosis of this problem may materially reduce the diagnoses of chest pain of undetermined origin.

4. In the present stage of our understanding of this problem caution must be exercised because of great symptomatic overlapping and possible coexistence of these two diseases.






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