Oesophageal Dysfunction in Male Patients with Angina‐like pain

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Abstract
Male patients [28] referred to work ECG due to chest pain, all with a positive esophageal symptom questionnaire believed to detect esophageal dysfunction (OD), were subjected to a graded work test and an esophageal manometry test and answered a questionnaire believed to detect effort angina. Ischemic heart disease (IHD) was defined as earlier infarction on ECG at rest or a pathological effort ECG. OD was defined as a positive acid perfusion test, hernia or a clear dysmotility in combination with a lower sphincter incompetence. Twenty patients had a positive effort angina questionnaire. Among these, OD was more common (13) than IHD (8). Of the 20 patients, 5 had signs of both IHD and OD. Eight patients had a negative effort angina questionnaire; OD was found in 7 and IHD in 1 of these patients. In cases with angina-like chest pain OD should be considered.