How to differentiate esophageal (GERD) from cardiac causes of chest pain

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 .

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.

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Tamer Mobarak

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