{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:57Z","timestamp":1787755557375,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n \n \n \u00bb Chest pain is the second most common chief complaint in the emergency department.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Cervical Angina is an important cause of non-cardiac chest pain, and is often overlooked.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Cervical angina is believed to be caused by cervical radiculopathy of the C6-C7 nerve roots.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Diagnosis involves a thorough history and physical, ruling out cardiac causes of chest pain.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Both operative and non-operative management options are effective.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.2106\/jbjs.rvw.25.00238","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:00:44Z","timestamp":1771527644000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Cervical Angina: An Often Overlooked Cause of Noncardiac Chest Pain"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8723-7682","authenticated-orcid":false,"given":"Jonathan P.","family":"Japa","sequence":"first","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5594-5675","authenticated-orcid":false,"given":"Philip","family":"Zitser","sequence":"additional","affiliation":[{"name":"New York Institute of Technology, College of Osteopathic Medicine, Old Westbury, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8579-2953","authenticated-orcid":false,"given":"Mark","family":"Ehioghae","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9367-4214","authenticated-orcid":false,"given":"Kevin","family":"Yoon","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3790-9061","authenticated-orcid":false,"given":"Linus","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0357-8330","authenticated-orcid":false,"given":"Shankar","family":"Thiru","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0076-4185","authenticated-orcid":false,"given":"Addisu","family":"Mesfin","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center, Washington, District of Columbia"},{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia"},{"name":"Georgetown University School of Medicine, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2]]},"reference":[{"issue":"22","key":"r1-20260222","first-page":"e368","article-title":"2021 AHA\/ACC\/ASE\/CHEST\/SAEM\/SCCT\/SCMR guideline for the evaluation and diagnosis of chest pain: executive summary: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"144","author":"Gulati","year":"2021","journal-title":"Circulation"},{"issue":"4","key":"r3-20260222","doi-asserted-by":"crossref","first-page":"550","DOI":"10.31616\/asj.2020.0269","article-title":"Cervical angina: a literature review on its diagnosis, mechanism, and management","volume":"15","author":"Feng","year":"2021","journal-title":"Asian Spine J"},{"issue":"8","key":"r4-20260222","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1038\/sj.sc.3101888","article-title":"Cervical angina: a seemingly still neglected symptom of cervical spine disorder?","volume":"44","author":"Nakajima","year":"2006","journal-title":"Spinal Cord"},{"key":"r5-20260222","first-page":"70","article-title":"The importance of examination of the spine in the presence of intrathoracic or abdominal pain","volume":"3","author":"Phillips","year":"1927","journal-title":"Proc Int Postgrad Med Assoc N Am"},{"issue":"5","key":"r6-20260222","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1001\/jama.1934.02750310017005","article-title":"Pseudo-angina pectoris originating in the cervical spine","volume":"103","author":"Nachlas","year":"1934","journal-title":"JAMA"},{"issue":"8","key":"r7-20260222","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/00007632-198510000-00003","article-title":"Cervical angina. A correlative study with emphasis on the use of coronary arteriography","volume":"10","author":"Brodsky","year":"1985","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"r8-20260222","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/1941874414550558","article-title":"Cervical angina: an overlooked source of noncardiac chest pain","volume":"5","author":"Sussman","year":"2015","journal-title":"Neurohospitalist"},{"issue":"3","key":"r9-20260222","doi-asserted-by":"crossref","first-page":"506","DOI":"10.3171\/2020.7.SPINE20866","article-title":"Spinal pathologies and management strategies associated with cervical angina (pseudoangina): a systematic review","volume":"34","author":"Brown","year":"2021","journal-title":"J Neurosurg Spine"},{"issue":"2 suppl","key":"r10-20260222","first-page":"169","article-title":"Atypical presentation of C-7 radiculopathy","volume":"99","author":"Ozgur","year":"2003","journal-title":"J Neurosurg"},{"issue":"5","key":"r11-20260222","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.jmpt.2005.04.002","article-title":"Cervicothoracic angina identified by case history and palpation findings in patients with stable angina pectoris","volume":"28","author":"Christensen","year":"2005","journal-title":"J Manipulative Physiol Ther"},{"issue":"3","key":"r12-20260222","first-page":"238","article-title":"Cervical angina: an unnoticed cause of noncardiac chest pain","volume":"29","author":"Jain","year":"2018","journal-title":"Indian J Clin Pract"},{"issue":"1","key":"r13-20260222","first-page":"9","article-title":"Pseudo-angina syndrome a prospective diagnostic study","volume":"13","author":"Hammad","year":"2015","journal-title":"Al-Azhar Assiut Med J"},{"issue":"suppl 1","key":"r14-20260222","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.4103\/ijpn.ijpn_68_23","article-title":"Cervical angina as a neglected symptom of cervical spine pathologies: retrospective observational study","volume":"37","author":"Kurhade","year":"2023","journal-title":"Indian J Pain"},{"issue":"1","key":"r15-20260222","first-page":"8","article-title":"Cervical angina","volume":"90","author":"Jacobs","year":"1990","journal-title":"N Y State J Med"},{"issue":"6","key":"r16-20260222","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1111\/os.12751","article-title":"Different surgical strategy for patients with cervical angina: a potential role of Luschka's joint osteophyte","volume":"12","author":"Feng","year":"2020","journal-title":"Orthop Surg"},{"issue":"11","key":"r17-20260222","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.4065\/75.11.1197","article-title":"Spinal cord infarction mimicking angina pectoris","volume":"75","author":"Cheshire","year":"2000","journal-title":"Mayo Clin Proc"},{"issue":"1-2","key":"r18-20260222","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.jns.2012.11.005","article-title":"Spinal cord infarction with cervical angina","volume":"324","author":"Nakae","year":"2013","journal-title":"J Neurol Sci"},{"issue":"2","key":"r19-20260222","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.spinee.2012.01.018","article-title":"Cervical angina because of ossification of the posterior longitudinal ligament","volume":"12","author":"Sudo","year":"2012","journal-title":"Spine J"},{"issue":"2","key":"r20-20260222","doi-asserted-by":"crossref","first-page":"128","DOI":"10.5115\/acb.2019.52.2.128","article-title":"A comprehensive review of the sinuvertebral nerve with clinical applications","volume":"52","author":"Shayota","year":"2019","journal-title":"Anat Cell Biol"},{"issue":"4","key":"r21-20260222","doi-asserted-by":"crossref","first-page":"929","DOI":"10.14245\/ns.2040074.037","article-title":"Cervical arthroplasty in the treatment of cervical angina: case report and review of the literature","volume":"17","author":"Jammal","year":"2020","journal-title":"Neurospine"},{"issue":"2","key":"r22-20260222","doi-asserted-by":"crossref","first-page":"110","DOI":"10.5056\/jnm.2011.17.2.110","article-title":"Noncardiac chest pain: epidemiology, natural course and pathogenesis","volume":"17","author":"Fass","year":"2011","journal-title":"J Neurogastroenterol Motil"},{"issue":"6","key":"r23-20260222","first-page":"2262","article-title":"Cervical angina","volume":"55","author":"Wells","year":"1997","journal-title":"Am Fam Physician"},{"issue":"3","key":"r24-20260222","doi-asserted-by":"crossref","first-page":"187","DOI":"10.2302\/kjm.39.187","article-title":"The diagnosis of nonanginal chest pain","volume":"39","author":"Constant","year":"1990","journal-title":"Keio J Med"},{"issue":"3","key":"r25-20260222","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s00586-006-0225-6","article-title":"A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy","volume":"16","author":"Rubinstein","year":"2007","journal-title":"Eur Spine J"},{"issue":"1","key":"r26-20260222","first-page":"e33646","article-title":"Bakody's test positive thoracic outlet syndrome caused by anomalous muscle: a case report","volume":"15","author":"Kimura","year":"2023","journal-title":"Cureus"},{"issue":"15","key":"r27-20260222","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1001\/jama.1943.02840150023006","article-title":"The syndrome of unilateral rupture of the sixth cervical intervertebral disk: with compression of the seventh cervical nerve root a report of four cases with symptoms simulating coronary disease","volume":"121","author":"Semmes","year":"1943","journal-title":"J Am Med Assoc"}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.25.00238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:04Z","timestamp":1787751904000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.25.00238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":26,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.25.00238","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}