A member asked:

18 year old comes in with angina symptoms, they have, ecg, stress ecg, cardiac mri&mra, echo, 24h ecg. would you suggest non-cardiac cause mimicking?

2 doctors weighed in across 2 answers

Yes: The above test are enough, if negative, to say that the chest pain is not from coronary artery disease and/or any other structural cardiac disease. Chest wall pain/ costochondritis and acid reflux causing esophageal spasm are two possibilities that can mimic a cardiac problem.

Answered 2/5/2016

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Dr. Amy Tezza answered

Yes: If the ekg didn't show any signs of ischemia then that 18 year old with normal testing as above could have many other possible illnesses; including reflux disease or esophageal spasm.

Answered 6/6/2013

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