Abstract

Objective: We aimed to examine the etiology of chest pain in children and to clarify the most common causes in this study.

Material and Methods: A total of 603 patients who applied to our hospital with chest pain between December 2010 and July 2011 were retrospectively reviewed.results: The female and male percentages of the study group were 46.8% and 53.2% respectively. The mean age of the patients was 11.8 ± 2.7 years. The etiology of the chest pain was related to the musculoskeletal system in 46.9%, the cardiovascular system in 17.5%, the respiratory system in 5.1%, and the gastrointestinal system in 3.3% and was psychogenic in 3%. No etiology was found in 21.4% of the patients and they were considered to be idiopathic. Other diagnoses such as connective tissue disease, Marfan syndrome, breast swelling and herpes zoster were present in 2.8% of the patients and these were classified as miscellaneous.conclusion: Chest pain in children should be investigated carefully

Keywords: Children, Etiology, Chest pain

References

  1. Driscoll DJ, Glicklich LB, Gallen WJ. Chest pain in children: A prospective study. Pediatrics 1976; 57: 648-51.
  2. Selbst SM. Chest pain in children. Pediatrics 1985; 75: 1068-70.
  3. Evangelista JA, Parsons M, Renneburg AK. Chest pain in children: Diagnosis through history and physical examination. J Pediatr Health Care 2000; 14:3-8.
  4. Tumer N, Yalçınkaya F, İnce E, Köse K, Çakar N, Kara N, ve ark. Blood pressure nomograms for children and adolescents in Turkey. Pediatr Nephrol 1999; 13: 438-43.
  5. Desparmet-Sheriden JF. Pain in children. In: Raj PP (ed). Practical management of pain. 2nd ed. St. Louis: Mosby Year Book Inc, 1992;353-4.
  6. Selbst SM, Ruddy RM, Clark BJ, Henretiq FM, Santulli T Jr. Pediatric chest pain: A prospective study. Pediatrics 1988; 82: 319-23.
  7. Massin MM, Bourguignont A, Coremans C, Comté L, Lepage P, Gérard P. Chest pain in pediatric patents presenting to an emergency department or to a cardiac clinic. Clin Pediatr 2004; 43: 231-8.
  8. Cava JR, Sayger PL. Chest pain in children and adolescents. Pediatr Clin North Am 2004; 51: 1553-68.
  9. Selbst SM. Approach to the child with chest pain. Pediatr Clin North Am 2010; 57: 1221-34.
  10. Hambrook JT, Kimball TR, Khoury P, Cnota J. Disparities exist in the Emergency Department evaluation of pediatric chest pain. Congenit Heart Dis 2010; 5: 285-91.
  11. Eslick GD. Epidemiology and risk factors of pediatric chest pain: A systematic review. Pediatr Clin North Am 2010; 57:1211-9.
  12. Cagdas DN, Pac FA. Cardiac chest pain in children. Anadolu Kardiyol Derg 2009; 9: 401-6.
  13. Eisenberg MJ. Rheumatic heart disease in the developing world: Prevalence, prevention, and control. Eur Heart J 1993; 14: 122-8.
  14. Imamoğlu A. Ankara ilkokul çocuklarında romatizmal kalp hastalıkları sıklığı. AÜTF Mecmuası 1975; 98: 28.
  15. Imamoglu A, Özen S. Epidemiology of acute rheumatic heart disease. Arch Dis Child 1988;63:15-9.
  16. Feldt RH, Avasthey P, Yoshimasu F, Kurland LT, Titus JL. Incidence of congenital heart disease in children born to residents of Olmsted County, Minnesota, 1950-1969. Mayo Clin Proc 1971;46:794.

Copyright and license

Copyright © 2015 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Öztürk K, Çetin İİ, Ekici F, Kocabaş A, Şaylı TR. Etiology of Chest Pain in Children. Turk J Pediatr Dis [Internet]. 2015 Dec. 1 [cited 2025 Aug. 23];9(4):248-53. Available from: https://turkjpediatrdis.org/article/view/304