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A teen with chest pain
1Division of Pediatric Cardiology, Children's Hospital of Michigan, Wayne State University, School of Medicine, 3901 Beaubien, Detroit, MI 48201-2119, USA.
Pediatric Clinics of North America
|November 26, 2013
Summary
Chest pain in teenagers is common and often benign, but can cause anxiety. This article guides differentiating cardiac from noncardiac causes in adolescents.
Area of Science:
- Pediatric Cardiology
- Adolescent Health
Background:
- Chest pain is a frequent symptom in adolescents.
- It can cause significant anxiety for patients, families, and providers.
- Differentiating benign from serious causes is crucial, especially with a family history of early heart disease.
Purpose of the Study:
- To provide a framework for evaluating chest pain in teenagers.
- To differentiate between cardiac and noncardiac etiologies of chest pain in this age group.
Main Methods:
- Review of common and concerning causes of chest pain in adolescents.
- Discussion of diagnostic approaches for evaluating pediatric chest pain.
- Guidance on distinguishing between cardiac and noncardiac chest pain.
Main Results:
- Most adolescent chest pain cases have benign, noncardiac origins.
- A systematic evaluation can effectively identify serious cardiac conditions.
- Key historical and physical exam findings help differentiate causes.
Conclusions:
- Chest pain in teenagers requires careful evaluation to alleviate anxiety and ensure appropriate diagnosis.
- Distinguishing cardiac from noncardiac chest pain is achievable with a structured approach.
- Early identification of serious conditions is paramount in adolescent cardiology.
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