Chest pain is one of the common symptoms of both Myocardial ischemia and Gastro-esophageal reflux disease (GERD) , and here , we are going to discuss the difference between both cases .
Pain seldom radiates to the arm.
Pain precipitated by drinking hot liquids or alcohol .
Relieved by antacid, and aggravated by nitrates.
No dyspnea.
Pain radiates into neck, shoulder and both arms.
Pain produced by exercise.
Relieved by rest and nitrates.
Dyspnea may present.
A. Characters of Pain in case of GERD :
Burning pain produced by bending, stooping or lying down.Pain seldom radiates to the arm.
Pain precipitated by drinking hot liquids or alcohol .
Relieved by antacid, and aggravated by nitrates.
No dyspnea.
B. Characters of Pain in case of Myocardial ischemia :
Compression or crushing pain.Pain radiates into neck, shoulder and both arms.
Pain produced by exercise.
Relieved by rest and nitrates.
Dyspnea may present.
