Evaluation Of 441 Pediatric Patients With Chest Pain
OSMAN GÜVENÇ, FATMA KAYA, DERYA ARSLAN, DERYA ÇİMEN, BÜLENT ORAN
- Year : 2014
- Vol : 30
- Issue : 4
- Page :
159-161
Chest pain is a common complaint in children. It doesn’t usually
indicate a cardiac problem but it is considered as heartache by the
patients and their families. In this article, the patients with chest
pain in pediatric cardiology clinic for the last 18 months have been
evaluated and the etiology of chest pain has been discussed. The
study includes 441 patients with chest pain, who were admitted to
the Department of pediatrics, Division of pediatric cardiology, Faculty
of Medicine, Selçuk University between May 2011 and November
2012. The data of the patients has been reviewed retrospectively.
Medical history and family history of the patients, cardiac physical
examination, electrocardiography, echocardiography, 24-hour rhythm
holter monitoring, exercise testing and laboratory tests have been
evaluated. In our study the mean age of the patients was 11 (5-18
year-old). 217 (49.2%) of the patients were male and 224 (50.8%)
of the patients were female. Medical history, physical examination,
electrocardiography and echocardiography of all the patients have
been evaluated. Cardiac pathology has been recognized in 10 (2.3%)
of the patients. The reasons that cause chest pain are idiopathic in
378 (85.7%) patients, psychological in 22 (5%) patients, lung diseases
in 20 (4.5%) patients, gastrointestinal disorders in 6 (1.4%) patients,
musculoskeletal system diseases in 3 (0.7%) patients, Familial
Mediterranean Fever in 1 (0.2%) patient and pectus excavatum in
1 (0.2%) patient. According to this study, the etiology of chest pain
in children is extra cardiac factors in majority. Differential diagnosis
should be made carefully due to possibility of life threatening
consequences of cardiac disorders. If there is no cardiac pathology
as a result of medical history, physical examination and laboratory
tests the patient and the family should be informed about this.
Cite this Article As :
Güvenç O,Kaya F,Arslan D,Çimen D,Oran B.Göğüs Ağrısı Olan 441 Çocuk Hastanın Değerlendirilmesi.Selcuk Med J 2014;30(4): 159-161
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Description :
None of the authors, any product mentioned in this article,
does not have a material interest in the device or drug. Research,
not supported by any external organization.
grant full access to the primary data and, if requested by the magazine
they agree to allow the examination of data.
Evaluation Of 441 Pediatric Patients With Chest Pain
2014,
Vol.
30
(4)
Received : 05.01.2014,
Accepted : 05.01.2014,
Published Online : 13.08.2018
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;