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Etiology of Chest Pain in Children

Year 2015, Volume: 9 Issue: 4, 248 - 253, 01.12.2015

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

References

  • Driscoll DJ, Glicklich LB, Gallen WJ. Chest pain in children: A prospective study. Pediatrics 1976; 57: 648-51.
  • Selbst SM. Chest pain in children. Pediatrics 1985; 75: 1068-70.
  • Evangelista JA, Parsons M, Renneburg AK. Chest pain in children: Diagnosis through history and physical examination. J Pediatr Health Care 2000; 14:3-8.
  • 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.
  • 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.
  • Selbst SM, Ruddy RM, Clark BJ, Henretiq FM, Santulli T Jr. Pediatric chest pain: A prospective study. Pediatrics 1988; 82: 319-23.
  • 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.
  • Cava JR, Sayger PL. Chest pain in children and adolescents. Pediatr Clin North Am 2004; 51: 1553-68.
  • Selbst SM. Approach to the child with chest pain. Pediatr Clin North Am 2010; 57: 1221-34.
  • 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.
  • Eslick GD. Epidemiology and risk factors of pediatric chest pain: A systematic review. Pediatr Clin North Am 2010; 57:1211-9.
  • Cagdas DN, Pac FA. Cardiac chest pain in children. Anadolu Kardiyol Derg 2009; 9: 401-6.
  • Eisenberg MJ. Rheumatic heart disease in the developing world: Prevalence, prevention, and control. Eur Heart J 1993; 14: 122-8.
  • Imamoğlu A. Ankara ilkokul çocuklarında romatizmal kalp hastalıkları sıklığı. AÜTF Mecmuası 1975; 98: 28.
  • Imamoglu A, Özen S. Epidemiology of acute rheumatic heart disease. Arch Dis Child 1988;63:15-9.
  • 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.

Göğüs Ağrısı Yakınması ile Başvuran Çocukların Etiyolojik Açıdan Değerlendirilmesi

Year 2015, Volume: 9 Issue: 4, 248 - 253, 01.12.2015

Abstract

Amaç: Hastanemize göğüs ağrısı yakınması ile başvuran çocukların etiyolojik açıdan incelenmesi ve en sık karşılaşılan sebeplerin belirlenmesi hedeflenmiştir.Gereç ve Yöntemler: Çalışma kapsamında hastanemize Aralık 2010 ile Temmuz 2011 tarihleri arasında göğüs ağrısı yakınması ile başvuran 603 olgu geriye dönük olarak incelendi.Bulgular: Çalışma grubundaki hastaların %46.8’i kız, %53.2’si erkekti. Hastaların yaş ortalaması 11.8 ± 2.7 (5.5–18) yıldı. Hastaların %46.9’unda kas iskelet sistemi, %17.5’inde kardiyovasküler sistem, % 5.1’inde solunum sistemi, %3.3’ünde gastrointestinal sistem, %3’ünde psikojenik nedenli göğüs ağrısı tespit edildi. %21.4’ünde ise göğüs ağrısının nedeni bulunamadı ve idiyopatik göğüs ağrısı olarak değerlendirildi. Hastaların %2.8’inde göğüs ağrısının nedeni kollajen doku hastalığı, Marfan sendromu, meme büyümesi ve zona gibi diğer nedenlere bağlandı.Sonuç: Çocuklardaki göğüs ağrısının ayrıntılı araştırılması gerekliliği sonucuna varılmıştır.

References

  • Driscoll DJ, Glicklich LB, Gallen WJ. Chest pain in children: A prospective study. Pediatrics 1976; 57: 648-51.
  • Selbst SM. Chest pain in children. Pediatrics 1985; 75: 1068-70.
  • Evangelista JA, Parsons M, Renneburg AK. Chest pain in children: Diagnosis through history and physical examination. J Pediatr Health Care 2000; 14:3-8.
  • 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.
  • 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.
  • Selbst SM, Ruddy RM, Clark BJ, Henretiq FM, Santulli T Jr. Pediatric chest pain: A prospective study. Pediatrics 1988; 82: 319-23.
  • 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.
  • Cava JR, Sayger PL. Chest pain in children and adolescents. Pediatr Clin North Am 2004; 51: 1553-68.
  • Selbst SM. Approach to the child with chest pain. Pediatr Clin North Am 2010; 57: 1221-34.
  • 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.
  • Eslick GD. Epidemiology and risk factors of pediatric chest pain: A systematic review. Pediatr Clin North Am 2010; 57:1211-9.
  • Cagdas DN, Pac FA. Cardiac chest pain in children. Anadolu Kardiyol Derg 2009; 9: 401-6.
  • Eisenberg MJ. Rheumatic heart disease in the developing world: Prevalence, prevention, and control. Eur Heart J 1993; 14: 122-8.
  • Imamoğlu A. Ankara ilkokul çocuklarında romatizmal kalp hastalıkları sıklığı. AÜTF Mecmuası 1975; 98: 28.
  • Imamoglu A, Özen S. Epidemiology of acute rheumatic heart disease. Arch Dis Child 1988;63:15-9.
  • 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.
There are 16 citations in total.

Details

Other ID JA75KY63MZ
Journal Section Research Article
Authors

Kübra Öztürk This is me

İbrahim İlker Çetin This is me

Filiz Ekici This is me

Abdullah Kocabaş This is me

Tülin Revide Şaylı This is me

Publication Date December 1, 2015
Submission Date December 1, 2015
Published in Issue Year 2015 Volume: 9 Issue: 4

Cite

Vancouver Öztürk K, Çetin İİ, Ekici F, Kocabaş A, Şaylı TR. Etiology of Chest Pain in Children. Türkiye Çocuk Hast Derg. 2015;9(4):248-53.


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