Gastrocardiac syndrome

Gastrocardiac syndrome is the most common cause of noncardiac substernal chest pain in the elderly. It is common in Asia and he been described in Germany for some years as “Roemheld’s Syndrome.”

Other names for this condition include Bergmann's diaphragmatic hernia syndrome, von Bergmann's syndrome, epiphrenal syndrome, gastrocardial symptom, complex, hiatus hernia syndrome, paraesophageal hernia syndrome and sliding diaphragmatic hernia syndrome.

It refers to alteration in the heart rhythm caused by reflux of stomach juice. This condition may either congenital or acquired. When congenital, it is linked to autosomal recessive or x-linked inheritance. Acquired causes include being overweight and Heliobacter phylori infection.

Diagnosis gastrocardiac syndrome based on the exclusion of heart disease (coronary artery disease, arrhythmias), other diseases mediastinal organs (mediastinitis, aneurysm thoracic aorta), as well as identifying the pathology of the gastrointestinal tract, which can cause seizures (hiatal hernia, ulcer ulcer, gastric cancer, esophageal).

There are three types of gastrocardiac syndromes:
*Kardialgichesky – the main clinical and functional manifestations of syndrome are pain in the heart occurring during physical exertion, accompanied by shortness of breath, palpitations. Triglycerides were significantly higher than in other gastrocardiac syndromes.
*Arrhythmic – Systolic and diastolic pressure was significantly higher compared with patients of other groups.
*Dystonic – The phenomena of false angina accompanied by marked autonomic dysfunction (sweating, increased nervous irritability, sleep disturbance)
Gastrocardiac syndrome