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Chest pain and chest wall deformity

Janaki Gokhale1, Steven M Selbst

  • 1Jefferson Medical College, Philadelphia, PA 19107, USA.

Pediatric Clinics of North America
|January 13, 2009
PubMed

Insights

Most childhood chest pain is not serious, but careful evaluation is needed. Reassurance and follow-up are often sufficient for well children without concerning symptoms, but more research is required.

Area of Science:

  • Pediatric Medicine
  • Cardiology
  • Thoracic Surgery

Background:

  • Chest pain and chest wall deformities are frequent concerns in pediatric patients.
  • While often benign, serious underlying causes of chest pain necessitate careful clinical assessment.
  • Limited prospective research exists for evaluating pediatric chest pain.

Purpose of the Study:

  • To review the evaluation and management of chest pain in children.
  • To highlight the challenges in establishing clear diagnostic guidelines due to the rarity of serious etiologies.
  • To emphasize the importance of clinical judgment in differentiating benign from serious cases.

Main Methods:

  • Review of existing literature on pediatric chest pain.
  • Clinical assessment of children presenting with chest pain and chest wall deformities.
  • Discussion of diagnostic approaches and management strategies.

Main Results:

  • The majority of pediatric chest pain cases have benign diagnoses.
  • Serious causes of chest pain in children are uncommon, complicating guideline development.
  • Children who appear well, have normal examinations, and lack a concerning history may not require extensive diagnostic workups.

Conclusions:

  • Careful evaluation and follow-up are crucial for children with chest pain.
  • Reassurance and conservative management are appropriate for low-risk pediatric patients.
  • Multicenter studies are essential to better define the evaluation and management of pediatric chest pain.

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