Göğüs Ağrısı ile Çocuk Kardiyoloji Polikliniğine Başvuran Olguların Epidemiyolojik, Etiyolojik ve Klinik Özellikleri
Abstract
Amaç: Göğüs ağrısı (GA), çocuk ve adölesanlarda sık görülmesine ve hasta ile ailenin kaygı duymasına neden olmasına rağmen, çoğu olguda etiyolojide organik bir sebep bulunmamaktadır. Çalışmamızda, GA nedeniyle başvuran çocuklarda epidemiyolojik, klinik özelliklerin ve etiyolojik nedenlerin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: GA sebebiyle çocuk kardiyoloji polikliniğine Ocak 2015-Mart 2017 tarihleri arasında başvuran olgular yaş, cinsiyet, başvuru dönemi gibi epidemiyolojik; ağrının süresi, şekli, yayılımı, eşlik eden semptomlar, fizik muayene ve laboratuvar bulguları gibi klinik özellikleri açısından retrospektif olarak incelendi.Bulgular: Göğüs ağrısı şikayeti ile başvuran 570 olgunun ortalama yaşı 11.6±3.5 yıldı. En az olgu 7 yaştan küçük grupta (n:48,%8), en fazla ise 7-12 yaş (n:270,%47) grubundaydı (p=0.01). Erkek olgular kızlardan daha fazla olmasına rağmen aralarındaki fark anlamlı değildi (p=0.8). GA’na yol açan en sık nedenler idiyopatik (n:328,%58) ve kas-iskelet sistemi (n:109,%19) olarak tespit edildi. Kardiyak nedenler (n:45,%8) literatüre kıyasla daha fazla olup en sık iki neden mitral kapak prolapsusu (MVP) (n:20,%44) ve romatizmal kardit (n:7,%15)’di.Sonuç: Çocuklarda GA’nın etiyolojik nedenleri arasında kardiyak kökenli GA %0-4 oranında görülmektedir. Çalışmanın yapıldığı merkeze göre etiyolojik nedenlerin sıklığı değişebilmektedir. Çalışmamızda kardiyojenik GA beklenenin iki katı yüksek sıklıkta tespit edilmiştir. Olguların farklı birimlerden ön değerlendirme sonrası yönlendirilmiş olması bu duruma sebep olabilir. Literatürde kardiyak GA nedenleri arasında romatizmal kardit oldukça nadir bildirilmiş ancak çalışmamızda ikinci en sık neden olarak tespit edilmiştir. Kardiyojenik nedenler arasında özellikle gelişmekte olan ülkelerde romatizmal kardit hatırlanmalıdır. GA’a sebep olabilecek psikojenik nedenlerin tespiti için hastalar daha ayrıntılı sorgulanmalıdır.
References
- Park MK. Kawasaki disease. Pediatric Cardiology for Practitioners. 5th ed. Philadelphia: Mosby Elsevier, 2008:606-19.
- Driscoll DJ, Glicklich LB, Gallen WJ. Chest pain in children: A prospective study. Pediatrics 1976;57:648.
Pain in the Pediatric Cardiology Outpatient Clinic Epidemiological, Etiologic and Clinical Features of Cases with Chest
Abstract
Objective: Chest pain (CP) is a common complaint in children and adolescents. In most cases, it is a cause for anxiety in the patient and the family even though there is no organic cause. The aim of our study was to evaluate the epidemiological, clinical features and etiologic reasons of CP in children.Material and Methods: Patients who presented to the pediatric cardiology outpatient clinic between January 2015 and March 2017 due to CP were included. Epidemiological factors such as age, sex and admission period and the clinical characteristics such as duration of pain, pattern, spread, accompanying symptoms, physical examination and laboratory findings were retrospectively analyzed.Results: The mean age of the 570 patients with CP complaint was 11.6 ± 3.5 years. The smallest number of cases were in the age group smaller than 7 years (n: 48, 8%) and the largest in the age group of 7-12 years (n: 270, 47%) (p=0.01). There were more males than females but the difference was not significant (p=0.8). The most common causes of CP were idiopathic (n: 328, 58%) and musculoskeletal (n: 109, 19%). Cardiac causes (n: 45, 8%) were more common than in the literature and the two most frequent causes were MVP (n: 20, 44%) and rheumatic carditis (n: 7, 15%).Conclusion: Cardiogenic CP is seen at a rate of 0-4% as the etiologic factor in children. The frequency of the causes can vary according to the center of the study. In our study, cardiogenic CP was detected at twice the rate expected. The fact that the cases are referred after the preliminary evaluation at different units may be the reason. In the literature, rheumatic carditis is rarely reported among the causes of cardiogenic CP, but it was the second most common reason of cardiogenic CP in our study. Among cardiogenic causes, rheumatic carditis should be remembered, especially in developing countries. Patients should be questioned in more detail to determine the psychogenic causes that may cause CP
References
- Park MK. Kawasaki disease. Pediatric Cardiology for Practitioners. 5th ed. Philadelphia: Mosby Elsevier, 2008:606-19.
- Driscoll DJ, Glicklich LB, Gallen WJ. Chest pain in children: A prospective study. Pediatrics 1976;57:648.
Details
| Other ID | JA58SB56SN |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2018 |
| Submission Date | December 1, 2018 |
| Published in Issue | Year 2018 Volume: 12 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.