COMPARATIVE ANALYSIS OF QUALITATIVE AND QUANTITATIVE PARAMETERS OF TRANSIENT MYOCARDIAL ISCHEMIA AND 24-HOUR pH MONITORING IN PATIENTS WITH CORONARY HEART DISEASE AND GASTROOESOPHAGEAL REFLUX DISEASE

Abstract

In 122 patients with chest pain syndrome, anamnestic and clinical data, as well as the results of oesophagogastroduodenoscopy, veloergometry, 24-hour ECG monitoring, and 24-hour pH monitoring, were analysed. All participants were divided into three groups: Group 1 – patients with gastro-oesophageal reflux disease (GERD) only; Group 2 – patients with coronary heart disease (CHD) only; and Group 3 – patients with GERD and CHD. Adverse mutual effects of GERD and CHD were demonstrated, based on clinical and instrumental data. Primary and secondary ECG changes were identified, and a method for simultaneous 24-hour ECG and pH monitoring was proposed as a differential diagnostic tool in patients with chest pain syndrome.

Keywords

• coronary heart disease
• gastro-oesophageal reflux disease
• simultaneous 24-hour ecg and ph monitoring