• G Görge, D Grandt, and W Häuser.
• Innere Medizin II, Klinikum Saarbrücken gGmbH, Saarbrücken, Deutschland.
• Schmerz. 2014 Jun 1; 28 (3): 282-8.

BackgroundChest pain is a symptom commonly reported by persons in the general population and represents a differential diagnostic challenge.Material And MethodsThe paper is based on a narrative review with a selective search of the literature in Medline for reviews and guidelines on the prevalence and treatment of non-malignant diseases with chronic chest pain in gastroenterology, gynecology and cardiology.ResultsThe prevalence and current treatment recommendations for the different forms of gastroesophageal reflux disease (GERD), erosive and non-erosive types and irritable esophagus, non-cardiac chest pain, refractory angina in coronary heart disease and postmastectomy nand poststernotomy syndromes are presented. In cases of failure of the established therapy of a single medical discipline, an interdisciplinary assessment including psychosocial issues is recommended. Evidence-based guidelines are available for the management of GERD and of refractory angina. Treatment of postmastectomy and poststernotomy syndromes is based on case reports and expert opinion.ConclusionThere is a need for controlled studies on the symptomatic treatment of pain in irritable esophagus, non-cardiac chest pain, postmastectomy and poststernotomy syndromes.

9 keywords...

hide…