Pediatric cardiologist, Queen Alia Heart Institute, Amman, Jordan
10.12816/0001661
Abstract
Objectives: To evaluate causes of chest pain in children referred to pediatric cardiology clinic and the need for echocardiography in these patient. METHODS: A prospective study conducted in Prince Ali Hospital, in the southern of Jordan, between Nov. 2010 till Nov. 2012. Clinical history and physical examination done. Electrocardiogram, chest X-ray, and echocardiogram for all patients, and a 24-hour Holter monitoring, if needed. RESULTS: A total of 145 children were referred to pediatric cardiology clinic.
Musculoskeletal causes were the most common accounting for (36.6%), idiopathic chest pain (31%), respiratory causes (15%), gastrointestinal causes (4.1%) and miscellaneous disorders (6.9%), while cardiac causes found in 9 patients (6.2%), echocardiography was positive in 4 patients (2.8%). CONCLUSIONS: The study reveals that cardiac etiologies for childhood chest pain account for a small percentage, and these can be excluded by a complete history and physical examination. Therefore, echocardiogram may not be necessary, and shouldn't be part of routine evaluation of children with chest pain.
Jaafreh, M. (2013). Chest Pain in Pediatric Patients Referred to Pediatric Cardiology Clinic. The Egyptian Journal of Hospital Medicine, 53(1), 988-990. doi: 10.12816/0001661
MLA
Majdi Jaafreh. "Chest Pain in Pediatric Patients Referred to Pediatric Cardiology Clinic", The Egyptian Journal of Hospital Medicine, 53, 1, 2013, 988-990. doi: 10.12816/0001661
HARVARD
Jaafreh, M. (2013). 'Chest Pain in Pediatric Patients Referred to Pediatric Cardiology Clinic', The Egyptian Journal of Hospital Medicine, 53(1), pp. 988-990. doi: 10.12816/0001661
VANCOUVER
Jaafreh, M. Chest Pain in Pediatric Patients Referred to Pediatric Cardiology Clinic. The Egyptian Journal of Hospital Medicine, 2013; 53(1): 988-990. doi: 10.12816/0001661