Frank P. Castrina, MD
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Castrina FP. Unexplained Noncardiac Chest Pain. Ann Intern Med. 1997;126:663. doi: 10.7326/0003-4819-126-8-199704150-00024
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Published: Ann Intern Med. 1997;126(8):663.
TO THE EDITOR:
Recent articles by Rao and colleagues  and Frobert and colleagues  add to the extensive literature about the esophagus as a cause of chest pain in patients who do not have coronary artery disease. An equally important issue is the misdiagnosis of esophageal disease in patients with acute coronary syndromes.
A report based on 10 years of data from the PHICO insurance company (a medical malpractice carrier) involving myocardial infarction that was not diagnosed in the emergency department showed that a gastrointestinal diagnosis was made in 35% (24 of 64) of the claims . A finding in some misdiagnosed cases was relief of symptoms with the “gastrointestinal cocktail.”
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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