Definition of NonCardiac Chest Pain Noncardiac chest pain (NCCP) is defined as recurrent chest pain that is indistinguishable from ischemic heart pain after a reasonable workup has excluded a cardiac cause. Some Salient points NCCP is very common in the general population; however, a patient's history and characteristics do not reliably distinguish between cardiac and esophageal causes of chest pain. Compared to patients with cardiac angina, those with NCCP are usually younger, less likely to have typical symptoms, and more likely to have a normal resting electrocardiogram.

Various tests can help determine the presence and severity of ischemia, left the ventricular function, appearance of the coronary arteries, and functional capacity. They include exercise test electrocardiogram, echocardiography or nuclear single photon emission computed tomography (SPECT) and, if patients are unable…