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Related Experiment Videos

Chest pain in adolescents.

G G Kaden1, I R Shenker, N Gootman

  • 1Department of Pediatrics, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, New York 11042.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|May 1, 1991
PubMed
Summary

Adolescents experiencing chest pain often fear heart disease, leading to behavioral changes. Healthcare providers should address these fears, as chest pain in adolescents frequently has noncardiac causes.

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Area of Science:

  • Pediatric Cardiology
  • Adolescent Health
  • Psychosomatic Medicine

Background:

  • Chest pain is a common concern in adolescents.
  • Cardiac causes of chest pain in this age group are rare, but patient perception is often high.
  • Understanding adolescent perceptions of chest pain is crucial for appropriate management.

Purpose of the Study:

  • To compare perceptions of health and likelihood of cardiac disease between adolescents with chest pain and healthy controls.
  • To investigate the association between chest pain and self-perceived health status in adolescents.
  • To determine the impact of chest pain perception on adolescent behavior.

Main Methods:

  • A questionnaire was used to assess perceptions in adolescents with chest pain and a healthy control group.

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  • Chi-squared analysis was employed to analyze the data.
  • Prevalence of diagnosed cardiac problems was determined.

    • Main Results:

    • Twenty-two percent of adolescents with chest pain received cardiac diagnoses, a higher rate than previously reported.
    • While general knowledge of chest pain causes was similar, 68% of symptomatic adolescents linked their pain to heart disease.
    • Forty-four percent of adolescents with chest pain modified their behavior due to their symptom.

    Conclusions:

    • Adolescents with chest pain frequently associate their symptoms with heart disease, irrespective of actual cardiac etiology.
    • Fear of cardiac disease can lead to significant behavioral changes in adolescents.
    • Healthcare professionals must be cautious not to reinforce fears of heart disease, promoting a focus on noncardiac causes when appropriate.