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  • Title: [The diagnosis and treatment of the epiphrenal-cardial syndrome in patients with axial hiatal hernias].
    Author: Chernov VN, Khitar'ian AG, Aboian IA.
    Journal: Vestn Khir Im I I Grek; 1998; 157(4):89-92. PubMed ID: 9825449.
    Abstract:
    An examination of 63 patients with hiatal hernias was performed in order to detect the epiphrenic-coronary reflex. Changes in the ECG in performing the Börnstein test were analyzed. The pathological epiphrenic-coronary reflex was found in 80.4% of patients with retrosternal pains or ischemic heart disease. This reflex was proved to disappear after surgical treatment of the hiatal hernia in 93.1% of the patients.
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