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Chest pain in adolescents--functional consequences.

B W Goodman, R H Pantell

The Western Journal of Medicine

|September 1, 1984

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Recurrent chest pain is common in adolescents, often causing significant functional impairment but rarely due to serious organic causes. This study highlights the impact of adolescent chest pain on school attendance and healthcare utilization.

Area of Science:

Pediatrics
Adolescent Medicine
Psychosomatic Medicine

Background:

Chest pain is a frequent complaint among adolescents.
The organic etiology of adolescent chest pain is often low, leading to diagnostic uncertainty.
Understanding the functional impact and contributing factors is crucial for effective management.

Purpose of the Study:

To prospectively evaluate the causes and consequences of chest pain in adolescents.
To assess the functional impairment associated with adolescent chest pain, including school absenteeism and healthcare utilization.
To identify factors influencing the occurrence of chest pain in this age group.

Main Methods:

Prospective evaluation of 100 adolescents with chest pain.
Inclusion of two control groups for comparison.

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Assessment of organic causes, functional impairment, and patient beliefs.

Main Results:

91% of adolescents experienced recurrent chest pain.
Fewer than 5% had a serious organic cause for their chest pain.
Chest pain was associated with significantly higher school absenteeism and increased medical service use.
Adolescent beliefs about chest pain causes, including heart attacks, were explored.
Chest pain occurrence was not linked to age, sex, race, smoking, family structure, or depression.

Conclusions:

Chest pain is a common adolescent issue with substantial functional impairment.
The condition is rarely attributable to serious underlying disease.
Further research into the psychosocial aspects and effective management strategies for adolescent chest pain is warranted.