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Document Details
Document Type
:
Article In Journal
Document Title
:
CHILDREN WITH CHEST PAIN PRESENTING TO A PEDIATRIC CARDIOLOGY SERVICE OR EMERGENCY DEPARTMENT IN AN ACADEMIC CENTRE
CHILDREN WITH CHEST PAIN PRESENTING TO A PEDIATRIC CARDIOLOGY SERVICE OR EMERGENCY DEPARTMENT IN AN ACADEMIC CENTRE
Document Language
:
English
Abstract
:
Aim: To assess the etiology of chest pain among children referred to an emergency department or to a cardiology clinic Method: All echocardiograms performed on 50 consecutive children (27 girls, 23 boys) (aged 1.8 -16 years) who were referred to pediatric cardiology services for evaluation of chest pain in two years were reviewed. One pediatric cardiologist reviewed the patient records and echocardiograms. All cases had 6 months follow up. Result: Analysis of the history showed that 71% of patients had chest pain only, 17 % had chest pain with heart disease, and 1 % had chest pain related to miscellaneous causes. Causes of chest pain were: chest-wall pain (CW) (67%), and pulmonary (17%), psychological (3%), cardiac (14 %), traumatic (5%), and gastrointestinal problems (4%). The most common physical finding was chest tenderness (41% of cases). Investigations included echocardiogram (86%), chest radiography (50%), electrocardiography (46 %) and determination of the hemoglobin concentration and of the leukocyte count (14%); the results were rarely positive. Two patients required admission to hospital; there were no cases of myocardial ischemia. Conclusion: Chest pain is an uncommon and usually benign complaint in the pediatric population. Most causes are evident on careful physical examination
ISSN
:
1016-7315
Journal Name
:
The Journal of the Saudi Heart Association
Volume
:
20
Issue Number
:
1
Publishing Year
:
1428 AH
2008 AD
Article Type
:
Article
Added Date
:
Wednesday, April 9, 2008
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
ريما بدر
Bader, Rima
Researcher
Doctorate
rimabadr@yahoo.com
Files
File Name
Type
Description
Children-chest_pain.pdf
pdf
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