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H. Alban Davies, BM, MRCP
Addenbrooke's Hospital Cambridge, England

J. Rhodes, MD, FRCP
Cardiff, Wales

JAMA. 1986;255(15):2021.

	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.—

Esophageal pain is an increasingly well-recognized mimic of angina, and patients are often discharged from follow-up if the esophagus rather than the heart is the cause of symptoms. Since little is known about the long-term prognosis of this group, we traced 16 patients who were initially seen four years earlier in an emergency room setting, for reasons of anginalike pain due to esophageal disease.¹

Report of a Study—

The study group included seven males and nine females; average age at presentation was 50 years. Investigations had shown that esophageal disease was the "definite" cause of pain in eight patients ("definite" pain was defined as a positive provocation test result using acid perfusion or intravenous ergonovine maleate injection, or the development of esophageal spasm during spontaneous pain), and the "probable" cause of pain in eight others ("probable" pain was defined as two independent abnormalities of esophageal function). All . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Senior Contributing Editor; Sharon Iverson, Assistant Editor.

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