Development of a three-channel, 24-h ambulatory esophageal pressure monitor.

We have developed a three-channel ambulatory esophageal pressure monitor and tested it with a series of 24-h studies. The monitor is a battery-operated, microprocessor-based device that measures pressures from three transducers positioned in the esophagus, stores the data in its memory, and transfers the data to an IBM PC computer system at the end of the recording period. Programs on the PC then analyze the data and identify contractile events, categorizing them according to specific parameters. Other programs display the pressure waveforms on the PC and allow visual inspection of the entire recordings or, alternatively, of particular events of interest. The system detects contractile abnormalities in patients with intermittent, noncardiac chest pains. We tested the system on ten normal subjects and found a relatively high incidence of what are usually considered "abnormal" contractions.