Uncommon Causes of Chest Pain in Children: An Experience From a Tertiary Care Hospital

Nurul Islam1, Saroj K Tripathy2, Jitendriya Biswal3

  • 1Pediatrics, Healthworld Hospitals, Durgapur, IND.

Cureus
|May 9, 2023
PubMed

Insights

Pediatric chest pain is frequently psychogenic, often linked to anxiety and depression, especially with increased screen time. Most children improve with intervention, but a significant portion are lost to follow-up.

Area of Science:

  • Pediatrics
  • Cardiology
  • Psychology

Background:

  • Chest pain is a common pediatric complaint in emergency and outpatient settings.
  • Etiology of pediatric chest pain in India requires further clarification.
  • This study addresses the prevalence and causes of chest pain in children.

Purpose of the Study:

  • Evaluate the primary causes of chest pain in children and adolescents.
  • Describe demographic factors, symptoms, and outcomes.
  • Identify contributing factors like screen time and internet addiction.

Main Methods:

  • Retrospective analysis of 55 children (5-15 years) with chest pain.
  • Data collected from July 2019 to June 2021.
  • Review of case records for demographics, symptoms, etiology, and outcomes.

Main Results:

  • Mean age 10.75 years; balanced male-female ratio.
  • 83.6% of cases had psychogenic causes (anxiety, depression).
  • 78.2% had >2 hours screen time; 23.6% had internet addiction.

Conclusions:

  • Pediatric chest pain is often non-cardiac and psychogenic.
  • Thorough history, examination, and basic tests are key for diagnosis.
  • Referral to pediatric cardiology may be necessary, though causes are often behavioral.

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