Evaluation of Clinical Manifestation, Demographics Parameters and Causes of Chest Pain in Children | ||
| Journal of Pediatric Perspectives | ||
| مقاله 9، دوره 8، شماره 11 - شماره پیاپی 83، بهمن 2020، صفحه 12409-12419 اصل مقاله (362.67 K) | ||
| نوع مقاله: original article | ||
| شناسه دیجیتال (DOI): 10.22038/ijp.2020.46345.3772 | ||
| نویسندگان | ||
| Yazdan Ghandi* 1؛ Sarvenaz Mehrabi2؛ Rohaman Nariman2؛ Danial Habibi3 | ||
| 1Associate Professor, Pediatric Cardiologist, Amirkabir Hospital, Arak University of Medical Sciences, Arak, Iran. | ||
| 2General Practitioner, Department of Emergency, School of Medicine, Arak University of Medical Sciences, Arak, Iran. | ||
| 3Department of Biostatistics and Epidemiology, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran. | ||
| چکیده | ||
| Background Chest pain is one of the common chief complaints in children which can be benign and/or life-threatening. In this retrospective study, the causes of chest pain, associated factors, and clinical characteristics in children have been evaluated in order to have a better diagnosis and clinical approach. Materials and Methods: 680 patients with chest pain were referred to the pediatric cardiology clinic from Jan 2017 to July 2019. All the information about past medical history, family history, chest pain characteristics, and associated symptoms were collected and all the body systems were examined. The patients who were suspected to have psychological problems were referred to psychiatrists for evaluation. The data were indicated as counts and percentages. Statistical analyses were performed using SPSS (version 20.0). Results: The most frequently reported symptoms accompanied with chest pain were palpitation and exertional dyspnea. 111 patients had abnormal echocardiography and 32 of them had abnormalities in ECG. Dyslipidemia was detected in one of the obese children. The most common causes of chest pain were idiopathic (42.4%), cardiac origins (22.2%), musculoskeletal (13.8%), psychiatric problems (8.6%), gastrointestinal (6.6%), respiratory (5.6%), and gynecomastia (0.08%) respectively. Cardiac chest pain was the most common type among the children between 15 and 18 years old. Conclusion The causes of chest pain could be diagnosed by history-taking, physical exams, and cardiac auscultation. Further tests such as echocardiography, ECG, chest X-ray, and laboratory tests were not essential to diagnose cardiac pains as the first line evaluation. | ||
| کلیدواژهها | ||
| Chest Pain؛ Children؛ Etiology؛ Echocardiogram؛ Heart Diseases | ||
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