The Role of Visceral Hyperalgesia, Gastroesophageal Reflux Disease (GERD) and Esophageal Motility Disorder (EMD) in NCCP Patients
Study Details
Study Description
Brief Summary
Noncardiac chest pain (NCCP) is a common clinical problem worldwide. In Hong Kong, it has been estimated that about 20% of patients with chest pain are misdiagnosed to have coronary heart disease. Despite its benign nature, this condition causes anxiety, impairs quality of life and consumes a substantial amount of healthcare resources. While acid reflux and motility disorder in the esophagus are often attributed as the cause of NCCP, visceral hyperalgesia of esophagus is now recognized to play a central role in the pathogenesis of this condition. This research project aims to evaluate the role of visceral hyperalgesia in Chinese patients with NCCP. NCCP patients will be evaluated for the prevalence of gastroesophageal reflux disease and esophageal motility disorder by endoscopy, manometry and pH study. The visceral sensory and pain thresholds of these patients will be compared with asymptomatic controls.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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Consecutive patients with monthly angina-like chest pain and negative coronary angiogram or scintigraphy
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Age between 18-70
Exclusion Criteria:
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Gastroesophageal reflux disease
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Psychiatric illness
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Cerebrovascular accident
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Active peptic ulceration
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Heart failure or cardiac bradyarrhythmia
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Epilepsy
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Pregnancy or lactating female
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Previous hypersensitivity to muscle relaxant
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Endoscopy Centre, Prince of Wales Hospital | Hong Kong | China |
Sponsors and Collaborators
- Chinese University of Hong Kong
Investigators
- Principal Investigator: Justin CY WU, MD, Chinese University of Hong Kong
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NPA study