This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Lee Sataline, MD; Terri Goffred, RN
Bradley Memorial Hospital and Health Center Southington, Conn

JAMA. 1980;243(4):332.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In response to a question concerning anginal pain in diabetics with normal coronary arteriography (241:2311, 1979) Samuel Zoneraich, MD, discusses the pain resulting from small-vessel disease of the myocardium.

We would like to suggest that esophageal spasm may also produce "typical angina," which often responds to nitroglycerin.^1,2 Motor disorders of the esophagus in diabetics are well known,^3,4 and spasm secondary to reflux esophagitis,⁵ moniliasis (Sheft DJ, Shrago G: JAMA 213:1859-1862, 1970), and other conditions may initiate and/or aggravate the pain.

The acid perfusion (Bernstein) test, esophageal manometry, and endoscopy may be helpful in establishing the cause of chest pain in any patient without overt coronary artery disease. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?