Difference between Esophageal Chest Pain and Cardiac Chest Pain

Esophageal chest pain and cardiogenic chest pain difference lies in the cause of disease, pain nature, treatment methods, etc.

1, the

cause of esophageal chest pain is caused by esophageal lesions, such as gastroesophageal reflux, esophageal foreign body, esophageal diverticulum, etc., generally in the case of eating irritating food, emotional stress will be induced. Cardiac chest pain is caused by insufficient blood supply to the heart, heart valve disease and other reasons.

2, the nature of pain

Esophageal chest pain is mainly manifested as retrosternal or substernal compression, burning pain; cardiac chest pain is manifested as retrosternal compression pain.

3. Treatment methods

Patients with gastroesophageal reflux can be treated with gastric acid secretion inhibition, mucosal protective agents, gastric motility drugs, etc. according to doctor's advice, and if necessary, laparoscopic fundoplication can be used for treatment; patients with achalasia can be treated with oral vasodilators or calcium channel blockers, and if necessary, esophagus can be dilated by surgery. Cardiogenic chest pain caused by myocardial ischemia, antiplatelet drugs, nitrates and beta receptor antagonists can be used to dilate coronary arteries and increase myocardial blood flow; If it is caused by acute aortic dissection rupture, it can be treated by endovascular repair of aortic dissection covered stent or thoracotomy artificial vessel replacement.