Cover image: Oesophagal spasms can feel like sudden, severe chest pain that lasts from a few minutes to hours.
Spontaneous non-peristaltic (uncoordinated) contractions of the oesophagus with normal LES.
- Diffuse Oesophageal Spasm
- Peristalsis with normal amplitude but are uncoordinated, simultaneous, or rapidly propagated
- Hypertensive peristalsis/Nutcracker Oesophagus
- Peristalsis coordinated but with excessive amplitude
- Hypercontractile/Jackhammer Oesophagus
- Contractions of very high amplitude, involving a majority of the oesophagus, and duration for a prolonged period with a jackhammer-type appearance on high-resolution manometry.
- Angina-like chest pain (Intermittent, crushing, substernal pain)
- Radiates to back
- Diagnosis of choice
- Corkscrew appearance
- MI (Myocardial infarction)
- CCF (Diltiazem): 1st line treatment