MICHAEL MCCUNE, M.D.; GLEN LEHMAN, M.D.
To the editor: In a recent paper (Ann Intern Med 83:1-7, 1975) Friedman, Siegelaub, and Dales conclude that smoking is associated with an increased prevalence of chest pain, but the mechanism(s) for this remains undefined. Although pulmonary, cardiac, and musculoskeletal origins of pain are discussed, the authors make no mention of possible esophageal origin of the chest pain. Positive responses to pain "after a big meal," "awakened from sleep," and "lasting over 10 minutes" are all suggestive of reflux esophagitis. In their 200-part questionnaire, were patients questioned for heartburn, sour brash, dysphagia, or antacid relief of pain?
Dennish and Castell
MCCUNE M, LEHMAN G. Smoking and Esophageal Pain. Ann Intern Med. ;84:342–343. doi: 10.7326/0003-4819-84-3-342_2
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Published: Ann Intern Med. 1976;84(3):342-343.
Cardiology, Coronary Risk Factors, Smoking, Tobacco, Alcohol, and Other Substance Abuse.
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