Chest pain and its recurrence in pediatric population: A large cohort study

Abstract

Introduction: Chest pain is a common complaint in children. In this retrospective study we investigated the clinical and etiological characteristics and the recurrence rates of chest pain in a large cohort of patients. Material and Method: This study enrolled children under the age of 18 years who admitted to our pediatrics and pediatric cardiology departments with the chief complaint of chest pain. The medical files and laboratory data of patients with chest pain were retrospectively reviewed. Results: Among 503 patients with chest pain, 346 (68.7%) cases were referred to pediatric cardiology department because of a suspicious of a cardiac chest pain. Non-cardiac related chest pain accounted for 95.2% (478 patients) and cardiac related chest pain accounted for 4.8% (25 patients). A total of 23 (92%) patients in cardiac-related chest pain group and 212 (44.3%) patients in non-cardiac related group had recurrent chest pain. Recurrent chest pain was commonly detected in cardiac related chest pain, respiratory, gastrointestinal and psychological disorders. Discussion and Conclusion: In this study, the most common etiologies of chest pain in children were idiopathic chest pain and musculoskeletal disorders. Although, our results showed that chest pain is commonly recurrent and cardiac causes of chest pain are very rare in children. Unnecessary referrals should be reduced with a careful history and physical examination.

Keywords

• Chest pain
• children
• recurrence
• cardiac related
• refferals

Çocukluk çağında göğüs ağrısı ve tekrarlama sıklığı: Geniş bir toplum çalışması

Abstract

Amaç: Göğüs ağrısı çocuklarda yaygın görülen bir şikâyettir. Bu retrospektif çalışmada pediatri bölümüne başvuran ve pediatrik kardiyoloji bölümüne sevk edilen geniş bir hasta grubunda göğüs ağrısının klinik ve etiyolojik özellikleri ile tekrarlama oranlarını araştırdık. Gereç ve Yöntem: Bu çalışmaya pediatri bölümümüze başvuran ve göğüs ağrısı şikayeti ile pediatrik kardiyoloji bölümüne sevk edilen 18 yaşın altındaki çocuklar dâhil edildi. Göğüs ağrısı olan hastaların tıbbi dosyaları ve laboratuar verileri retrospektif olarak incelendi. Bulgular: Göğüs ağrısı olan 503 hastadan 346'sı (% 68.7) kardiyak göğüs ağrısı şüphesi nedeniyle pediatrik kardiyoloji bölümüne sevk edilmişti. Kardiyak nedenlerle ilişkili olmayan göğüs ağrısı %95.2 (478 hasta), kardiyak nedenlerle ilişkili göğüs ağrısı %4.8 (25 hasta) oranlarında idi. Kardiyak nedenlerle ilişkili göğüs ağrısı grubunda 23 hasta (%92) ve kardiyak olmayan grupta 212 hastada (% 44.3) tekrarlayan göğüs ağrısı vardı. Tekrarlayan göğüs ağrısı, kardiyak nedenlerle ilişkili göğüs ağrısı, solunum, gastrointestinal ve psikolojik bozukluklarda yaygın olarak saptandı. Sonuç ve Tartışma: Bu çalışmada, çocuklarda göğüs ağrısının en sık etiyolojik nedeni idiyopatik göğüs ağrısı ve kas-iskelet sistemi hastalıkları olarak bulunmuştur. Ayrıca, bizim sonuçlarımız çocuklarda göğüs ağrısının sık tekrarladığını ve göğüs ağrısının kardiyak nedenlerinin çocuklarda çok nadir olduğunu göstermiştir. Sonuç olarak, dikkatli bir öykü ve fizik muayene ile gereksiz sevk ve yönlendirmeler azaltılabilir.

Keywords

• Göğüs ağrısı
• çocuklar
• tekrarlama
• kalple ilişkili
• sevkler

References

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