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Analysis of clinical characteristics and causes of chest pain in children and adolescents
PURPOSE: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Pediatric Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4675925/ https://www.ncbi.nlm.nih.gov/pubmed/26692880 http://dx.doi.org/10.3345/kjp.2015.58.11.440 |
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author | Chun, Ji Hye Kim, Tae Hyeong Han, Mi Young Kim, Na Yeon Yoon, Kyung Lim |
author_facet | Chun, Ji Hye Kim, Tae Hyeong Han, Mi Young Kim, Na Yeon Yoon, Kyung Lim |
author_sort | Chun, Ji Hye |
collection | PubMed |
description | PURPOSE: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treatment. We investigated certain clinical characteristics that may be useful in the diagnosis of such critical diseases. METHODS: Patient medical records between July 2006 and September 2013 were retrospectively examined. We included 517 patients who presented with chest pain to the Department of Pediatrics at Kyung Hee University Hospital in Gangdong. RESULTS: Most cases of chest pain were idiopathic in origin (73.6%), followed by cases with respiratory (9.3%), musculoskeletal (8.8%), cardiac (3.8%), gastrointestinal (2.9%), and psychiatric (1.4%) causes. In 6 patients (1.2%) with air-leak syndrome including pneumothorax or pneumomediastinum, the pain was abrupt, continuous, and lasted for a short period of 1-2 days after onset in the older adolescents. Of the patients with cardiac pain, 13 had cardiac arrhythmias (65.0%), 6 had congenital heart diseases (30%), and 1 had coronary aneurysms caused by Kawasaki disease (5.0%). One patient with atrial flutter had only symptoms of syncope and chest pain. CONCLUSION: The abrupt, continuous chest pain of a short duration in the older children was characteristic of air-leak syndrome. In patients with pneumomediastinum, radiological diagnosis was difficult without careful examination. Combined syncope should not be neglected and further cardiac workup is essential in such patients. |
format | Online Article Text |
id | pubmed-4675925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Pediatric Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-46759252015-12-11 Analysis of clinical characteristics and causes of chest pain in children and adolescents Chun, Ji Hye Kim, Tae Hyeong Han, Mi Young Kim, Na Yeon Yoon, Kyung Lim Korean J Pediatr Original Article PURPOSE: Chest pain is common in children and adolescents and is a reason for referral to pediatric cardiologists. Although most cases of chest pain in these age groups are benign and do not require treatment, timely diagnosis is important not to miss life-threatening diseases requiring prompt treatment. We investigated certain clinical characteristics that may be useful in the diagnosis of such critical diseases. METHODS: Patient medical records between July 2006 and September 2013 were retrospectively examined. We included 517 patients who presented with chest pain to the Department of Pediatrics at Kyung Hee University Hospital in Gangdong. RESULTS: Most cases of chest pain were idiopathic in origin (73.6%), followed by cases with respiratory (9.3%), musculoskeletal (8.8%), cardiac (3.8%), gastrointestinal (2.9%), and psychiatric (1.4%) causes. In 6 patients (1.2%) with air-leak syndrome including pneumothorax or pneumomediastinum, the pain was abrupt, continuous, and lasted for a short period of 1-2 days after onset in the older adolescents. Of the patients with cardiac pain, 13 had cardiac arrhythmias (65.0%), 6 had congenital heart diseases (30%), and 1 had coronary aneurysms caused by Kawasaki disease (5.0%). One patient with atrial flutter had only symptoms of syncope and chest pain. CONCLUSION: The abrupt, continuous chest pain of a short duration in the older children was characteristic of air-leak syndrome. In patients with pneumomediastinum, radiological diagnosis was difficult without careful examination. Combined syncope should not be neglected and further cardiac workup is essential in such patients. The Korean Pediatric Society 2015-11 2015-11-22 /pmc/articles/PMC4675925/ /pubmed/26692880 http://dx.doi.org/10.3345/kjp.2015.58.11.440 Text en Copyright © 2015 by The Korean Pediatric Society http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Chun, Ji Hye Kim, Tae Hyeong Han, Mi Young Kim, Na Yeon Yoon, Kyung Lim Analysis of clinical characteristics and causes of chest pain in children and adolescents |
title | Analysis of clinical characteristics and causes of chest pain in children and adolescents |
title_full | Analysis of clinical characteristics and causes of chest pain in children and adolescents |
title_fullStr | Analysis of clinical characteristics and causes of chest pain in children and adolescents |
title_full_unstemmed | Analysis of clinical characteristics and causes of chest pain in children and adolescents |
title_short | Analysis of clinical characteristics and causes of chest pain in children and adolescents |
title_sort | analysis of clinical characteristics and causes of chest pain in children and adolescents |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4675925/ https://www.ncbi.nlm.nih.gov/pubmed/26692880 http://dx.doi.org/10.3345/kjp.2015.58.11.440 |
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