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[Chest pain with ischemic electrocardiographic changes: mitral valve prolapse in pediatrics. Case report]

Miguel Ángel Matamala-Morillo1, Moisés Rodríguez-González1, Antonio Segado-Arenas1

  • 1Sección de Cardiología Infantil, UGC Pediatría, Hospital Universitario Puerta del Mar, Cádiz, España.

Archivos Argentinos De Pediatria
|January 27, 2015
PubMed

Insights

Pediatric chest pain, though rare, can signal serious cardiac issues. This case highlights mitral valve prolapse and MASS phenotype as critical considerations for diagnosing chest pain in children.

Area of Science:

  • Cardiology
  • Pediatrics

Background:

  • Chest pain in children is uncommon and often benign, but cardiac causes, though rarer, warrant attention due to potential severity and associated alarm.
  • Identifying common and serious causes of pediatric chest pain is crucial for timely medical intervention.

Observation:

  • A case study involving a pediatric patient presenting with chest pain and electrocardiographic changes suggestive of ischemia.
  • The patient was diagnosed with mitral valve prolapse and MASS phenotype (mitral valve prolapse, aortic root enlargement, and skeletal and skin alterations).

Findings:

  • Chest pain in a pediatric patient was associated with ischemic electrocardiographic changes.
  • Mitral valve prolapse and MASS phenotype were identified as key factors in this case.

Implications:

  • This case underscores the importance of recognizing mitral valve prolapse and associated syndromes in the pediatric population presenting with chest pain.
  • Increased awareness among healthcare providers is necessary for the prompt diagnosis and management of potentially serious cardiac etiologies of chest pain in children.

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