Colin Reisner, MD; U.G. Mason, MD
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Reisner C., Mason U.; Unexplained Noncardiac Chest Pain. Ann Intern Med. 1997;126:662-663. doi: 10.7326/0003-4819-126-8-199704150-00023
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Published: Ann Intern Med. 1997;126(8):662-663.
TO THE EDITOR:
We read with interest the two articles on unexplained chest pain and its potential relation to esophageal dysfunction [1, 2] and the accompanying editorial . We believe that one possible cause of unexplained chest pain that may be overlooked is vocal cord dysfunction. We recently reported a case of unexplained chest pain attributed to vocal cord dysfunction . The patient was a 41-year-old woman who was referred to our institution for further evaluation of “chest tightness” that presented as unstable angina. Her symptoms consisted of chest tightness, pain radiating to her neck and left arm, and shortness of breath occasionally accompanied by voice changes. An extensive cardiac evaluation showed normal echocardiographic and cardiac catheterization results. A presumptive diagnosis of asthma was made after these normal results were obtained, and the patient was treated with inhaled steroids and β2-agonists without success. She was subsequently referred to the National Jewish Center for Immunology and Respiratory Medicine for further evaluation.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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