Pediatric precordial pain, Hospital Español de México's experience

Celia M Ocampo-Vázquez1, Rodrigo Hernández-Benítez2, Jose Iglesias-Leboreiro3

  • 1Department of Pediatric Emergency. Pediatrics and Neonatology Unit, Hospital Español de México. Mexico City, Mexico.

Insights

Pediatric precordial pain is common in emergency rooms, often causing family anxiety. This study found most cases were non-specific, with only a small percentage linked to serious cardiac issues.

Area of Science:

  • Pediatric Emergency Medicine
  • Cardiology

Background:

  • Pediatric precordial pain is a frequent reason for emergency room (ER) visits, affecting families' emotional well-being.
  • It commonly presents in adolescents aged 11-14 years.

Purpose of the Study:

  • To investigate the causes of pediatric precordial pain.
  • To analyze the symptoms and emergency department management of this condition.

Main Methods:

  • Retrospective, observational, descriptive, and transversal study.
  • Data collected from January 2014 to May 2017.

Main Results:

  • 48 pediatric precordial pain patients were identified.
  • 62% of cases had non-specific pain characteristics, and 54.1% lasted less than 8 hours.
  • Only one case (2%) was associated with cardiac pathology (pulmonary hypertension).

Conclusions:

  • Pediatric precordial pain is frequently benign and non-specific.
  • Emergency room evaluations should consider the low incidence of severe cardiac causes.
Abstract

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