Peer Reviewed
Feature Article Gastroenterology

Investigation and management of noncardiac chest pain

Geoff Hebbard, Claudia Gruebel
An updated version is available in the linked supplement
Abstract

Noncardiac chest pain is common and diagnosis can be difficult; however, in most cases patients can be reassured that the natural history is benign. Gastro-oesophageal reflux disease is the most common underlying cause; resolution of symptoms after treatment with a proton pump inhibitor may obviate the need for further investigations.

Key Points
    • Noncardiac chest pain (NCCP) is common and diagnosis can be difficult; however, in most cases the natural history is benign.
    • The most common underlying cause of NCCP is gastro-oesophageal reflux disease. Resolution of symptoms following treatment with a proton pump inhibitor (PPI) may obviate the need for further investigations.
    • If treatment with a PPI is not effective, other causes should be sought and treated.
Get full access
Subscribe for full access to all articles
Buy this article

Single article purchases are temporarily unavailable due to site maintenance.

If you would like to purchase an article during this time, please email us at [email protected] with the article details and we'll assist you directly. We'll also let you know when online purchasing is available again.

Thank you for your patience and understanding.

Already a subscriber?