Published in IJCP August 2018
Cervical Angina: An Unnoticed Cause of Noncardiac Chest Pain
August 04, 2018 | Rajendra Singh Jain, Jaydeep Kumar Sharma

Introduction: Cervical angina is one of the commonly unnoticed causes of chest pain with frequent presentation in cardiology outpatient department (OPD). Objectives: This is a retrospective study with the objective to analyze the symptoms and study the clinical, neurophysiological and radiological profile of patients with cervical angina. Study design: A retrospective study was carried out in the Dept. of Neurology, SMS Medical College and Hospital, Jaipur, from September 2015 to July 2018. In this study, records of 25 patients were analyzed who were admitted and diagnosed with noncardiac chest pain after normal cardiac investigations who underwent neurological work-up. Results: Out of 25 patients, 8 (32%) were found to have cervical radiculopathy and 2 (8%) had carpal tunnel syndrome. Chest pain accompanied with neck pain was the most common presentation (24%) followed by left arm pain (16%) and shoulder pain (8%). Conclusion: A good history taking by physicians and cardiologists should be the basis to reach at the diagnosis of cervical angina. Thus, a high index of suspicion is required in order to save the patient from the burden of unnecessary invasive investigations and stress.