Esophageal spasm or coronary artery spasm, how can I tell?

BY RULING OUT HEART. Since symptoms of both conditions can be chest pain and coronary spasm is more serious condition, it is first step to rule out coronary spasm first by ekg, angiography;echocardiogram and if coronary spasm is ruled out than tests to confirm esophageal spasm can be undertaken like endoscopy and/or manometry esophageal spasm is very rare and often symptoms of chest pain may be due to gerd.

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