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Related Experiment Videos

Chest pain in children.

S M Selbst

    Pediatrics
    |June 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Idiopathic chest pain is common in children, affecting males and females equally across age groups. Most cases are not linked to serious conditions, and lab tests are often unhelpful in diagnosis.

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    Area of Science:

    • Pediatrics
    • Cardiology
    • Clinical Medicine

    Background:

    • Chest pain is a common presenting complaint in pediatric emergency departments.
    • Determining the etiology of chest pain in children can be challenging.
    • Previous studies have varied in their findings regarding the causes and prevalence of pediatric chest pain.

    Purpose of the Study:

    • To determine the occurrence rate of chest pain in a pediatric population.
    • To identify demographic factors associated with pediatric chest pain.
    • To analyze the common diagnoses and diagnostic utility of laboratory tests for pediatric chest pain.

    Main Methods:

    • Retrospective chart review of 267 pediatric patients presenting with chest pain.
    • Analysis of patient demographics, pain duration, and final diagnoses.

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  • Evaluation of the effectiveness of laboratory tests in identifying the cause of chest pain.

    • Main Results:

    • The occurrence rate of chest pain was 0.249% per patient visit.
    • Chest pain affected males and females equally, and teenagers similarly to younger children.
    • Idiopathic chest pain was the most frequent diagnosis, followed by functional (anxiety-related) and musculoskeletal pain.
    • Prolonged chest pain (over 1 month or 1 year) was reported in 8.6% and 7.8% of cases, respectively.
    • Laboratory tests were found to be unhelpful in establishing the etiology of chest pain.

    Conclusions:

    • Chest pain in children is relatively uncommon but occurs across various demographics.
    • Idiopathic, functional, and musculoskeletal causes are the most prevalent, suggesting non-cardiac origins in most cases.
    • Further research may focus on non-invasive diagnostic approaches and management strategies for pediatric chest pain.