Exercise induced chest pain in children and bronchial asthma

Abstract

Chest pain is a frequently encountered problem in childhood. In this study we aimed to asses the relationship between exertional chest pain and asthma by using the peek expiratory flow rate measurements. For this study, 64 otherwise healthy children with chest pain (chest pain group), 9-16 years of age (mean 11.9) and 58 healthy (control group), 8-11 years (mean 11.5) were compared with the use of peak flow-meter. Ages, weights, heights, systolic-diastolic blood pressures, pulses recorded. Preexertional and postexertional peak flow measurements (PEFR) at 2, 5 and 10 minutes determined. There was a decrease more than 15% in PEFR measures in 7 (10.9%) of chest pain group and in 1 (1.7%) of control group children (p

Keywords

• Childhood, chest pain, exercise induced bronchial asthma, peak expiratory flow rate

Çocukluk çagında egzersizle indüklenen gögüs agrısı ve bronsiyal astım

Abstract

Çocukluk yas grubunda gögüs agrısı sık karsılasılan belirtilerdendir. Bu çalısmada ülkemizdeki çocuklarda egzersizle indüklenen gögüs agrısı ile egzersizle indüklenen astım arasındaki iliski zirve ekspiratuar akım hızı (PEFR) ölçümü yapılarak arastırıldı. Çalısmaya egzersizle indüklenen gögüs agrısı dısında sikâyeti olmayıp, allerji öyküsü bulunmayan çocuklar (n=64) ile kontrol grubu kabul edilen ve herhangi bilinen bir hastalıgı olmayan saglıklı çocuklar (n=58) alındı. Gögüs agrısı grubu ile kontrol grubu yas ve cinsiyet bakımından benzerdi. Gögüs agrısı grubu yas ortalaması 11,9 yıl (9–16) ve kontrol grubu yas ortalaması 11,5 yıl (8–14) idi. Gögüs agrısı grubunda ortalama sistolik ve diastolik basınç ölçümleri sırasıyla, 96 / 66 mmHg ve 91 / 60 mmHg idi. Gögüs agrısı grubunda 7 (% 10,9) çocukta egzersiz sonrası PEFR degerlerinde egzersiz öncesine oranla % 15 düzeyinde düsme saptanırken kontrol grubunda PEFR degerlerinde düsme saptanmadı (p

Keywords

• Çocukluk çagı, gögüs agrısı, egzersizle indüklenen bronsiyal astım, zirve ekspiratuar akım hızı

References

1. Wiens L, Sabath R, Ewing L, et al. Chest pain in otherwise healthy children and adolescents is frequently caused by exercise induced asthma. Pediatrics 1992;90:350-353.
2. Eggleston PA, Astım In: Oski TA ed, Principles and Practice of Pediatrics, Pennsylvania, Lippincott company, 1998;219-220. 3. ShethKK.
3. Activity-induced asthma.
4. Pediatr Clin North Am 2003;50:697-716.
5. Strunk RC. Defining asthma in the preschool-aged child. Pediatrics 2002;109:357-361.
6. Evangelista JA, Parsons M, Renneburg AK. Chest pain in children:diagnosis through history and physical examination. J Pediatr Health Care 2000;14:3-8.
7. Anderson SD. Exercise-induced asthma in children: a marker of airway inflammation Med J Aust 2002;177:S61-63.
8. Carlsen KH, Carlsen KC. Exercise- induced asthma. Paediatr Respir Rev 2002;3:154- 160.

9. James L, Facian J, Sly RM. Effect of treadmill exercise on asthmatic children. J Allergy Clin Immunol 1976;57:408-416.
10. Goldfrey S, Silverman M, Anderson S. The use of treadmill for assesing EIA and the effect of varying the severity and duration of exercise. Pediatrics 1975;56;893-899.
11. Cumming GR, Everatt D,Hartman L. Bruce treadmill test in children:normal values in clinical population. Am J Cardiol 1978;41:69-73.
12. Nudel DB, Diamant S, Bready T, et al. Chest pain, dyspnea on exertion and exercise induced asthma in children and adolescents.Clinical Pediatrics 1987;26;388-392.
13. Selbst SM, Ruddy R, Clark BJ. Chest pain in children Clin Pediatr 1990:29;374-377.
14. Debrock C, Menetrey C, Bonavent M, et al. Prevalence of exercise-induced asthma in school children. 2002;50:519-529. Sante Publique
15. Sudhir P, Prasad CE. Prevalence of exercise-induced bronchospasm in school children: an urban-rural comparison. J Trop Pediatr 2003;49:104-108.
16. Kannisto S, Vanninen E, Remes K, et al. Use of pocket sized turbine spirometer in monitoring exercise induced bronchospasm and bronchodilator responses in children. Pediatr Allergy Immunol 1999;10:266-271.
17. Randolph C, Fraser B, Matasavage C. The free running athletic screening test as a screening test for exercise-induced asthma in high school. Allergy 1997;52:1128-1132.
18. Jones A, Bowen M. Screening for childhood asthma using an exercise test. Br J Gen Pract 1994;44:380;127-131.