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Adolescent chest pain

A K Anzai1, T E Merkin

  • 1Kaiser Permanente Medical Center, Fontana, California, USA.

American Family Physician
|April 1, 1996
PubMed
Summary
This summary is machine-generated.

Chest pain in adolescents is usually not serious, often stemming from musculoskeletal issues. Primary care physicians should offer support and follow-up for this common, often chronic, adolescent complaint.

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Area of Science:

  • Pediatric Medicine
  • Adolescent Health
  • Cardiology

Background:

  • Chest pain is a frequent concern in adolescent patients presenting to primary care.
  • While often benign, differentiating serious from non-serious causes is crucial for appropriate management.

Purpose of the Study:

  • To outline the differential diagnosis of chest pain in adolescents.
  • To guide the appropriate use of diagnostic testing in this population.
  • To emphasize the role of primary care in managing adolescent chest pain.

Main Methods:

  • Review of common causes of chest pain in adolescents.
  • Discussion of diagnostic approaches based on history and physical examination.
  • Consideration of cardiac, respiratory, gastrointestinal, and psychogenic etiologies.

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Main Results:

  • Musculoskeletal disorders are the most frequent identifiable cause of chest pain in adolescents.
  • Serious organic pathology, including cardiac disease, is rare in this age group.
  • Routine laboratory tests are often unhelpful unless guided by clinical findings.

Conclusions:

  • Adolescent chest pain is typically benign, with musculoskeletal causes predominating.
  • Diagnostic workup should be guided by clinical presentation, avoiding unnecessary testing.
  • Primary care physicians play a vital role in providing support and follow-up for chronic adolescent chest pain.