Risk factors and clinical manifestations of gastroesophageal reflux disease due to somatic diseases
In 104 patients with gastroesophageal reflux disease (GERD) due to somatic diseases risk factors and clinical manifestations in relation to violation of autonomic nervous system is studied. The most common extraesophageal clinical manifestations of GERD are a pain in the chest, bronchopulmonary symptoms, «the desire to clear the throat,» nocturnal aspiration, hoarseness. Shortness of breath, headaches is noted exceptionally in patients with IHD, arterial hypertension (AH) and chronic obstructive respiratory diseases. The predominance of parasympathetic tone of the autonomic nervous system (VNS) is noted with concomitant IHD and AH. The predominance of sympathetic tone VNS occurs much less compared to the group of patients with coronary artery disease and hypertension, bronchial asthma.