Chest Pain in Patients With Cardiac and Noncardiac Disease

Objective: To describe factors influencing chest pain expression in patients with cardiac or noncardiac disease. Methods: The authors conducted a case presentation and review of literature. Results: Causes of chest pain are diverse. Psychologic factors influence chest pain expression commonly in patients with or without cardiac disease. Conclusions: Physicians and other therapists must be aware of psychologic influences on chest pain expression to provide optimal treatment to their patients. Key words: chest pain, angina, ischemia, depression. PIMI Psychophysiologic Investigations of Myocardial Ischemia; GERD gastroesophageal reflux disease