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Adolescent chest pain: a prospective study.

R H Pantell, B W Goodman

|June 1, 1983

Summary

This summary is machine-generated.

Adolescent chest pain is common and usually not serious, often stemming from musculoskeletal issues or hyperventilation. Many young patients experience significant anxiety and functional impairment due to misunderstandings about their condition.

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Area of Science:

Pediatrics
Cardiology
Psychology

Background:

Chest pain is a frequent complaint among adolescents presenting to general pediatric clinics.
Understanding the causes and consequences of adolescent chest pain is crucial for effective management.

Purpose of the Study:

To investigate the etiology, functional consequences, and patient attributions of chest pain in adolescents.
To identify common diagnoses and patient concerns associated with this symptom.

Main Methods:

Prospective analysis of 100 adolescents presenting with chest pain.
Data collection on pain characteristics, associated stressful events, diagnoses, functional limitations, and patient understanding of their condition.

Main Results:

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Musculoskeletal problems (31%) and hyperventilation (20%) were the most frequent diagnoses; serious underlying illness was rare.
Most patients experienced frequent, prolonged pain, leading to significant physical activity restriction (over two thirds) and school absence (over 40%).
A substantial proportion of adolescents feared serious conditions like heart attack (44%), heart disease (12%), or cancer (12%).

Conclusions:

Adolescent chest pain is typically benign but often misunderstood, leading to considerable anxiety and functional impairment.
Accurate diagnosis and patient education are essential to alleviate fear and reduce the impact of chest pain on daily life.