Fifteen-minute consultation on excluding cardiac causes of chest pain

Chest pain can be an extremely worrying symptom for children and parents, but is typically benign and rarely cardiac in origin. It can become problematic for paediatricians in acute care balancing parental expectations and not missing sinister causes. In addition, ordering unnecessary tests can be e...

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Bibliographic Details
Published inArchives of disease in childhood. Education and practice edition Vol. 109; no. 2; pp. 88 - 91
Main Authors Mahmood, Umar F, Skinner, Gregory J
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01.04.2024
BMJ Publishing Group LTD
Subjects
Anxiety
Best practice
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Chest Pain - diagnosis
Chest Pain - etiology
Child
Children & youth
Cocaine
Electrocardiography
Emergency medical care
Gastroesophageal reflux
Heart attacks
Humans
Ischemia
Length of Stay
Myocarditis
paediatrics
Pain
Parents
Pediatricians
Pediatrics
Pericarditis
Referral and Consultation
Trauma
Viral infections
paediatrics
cardiology
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Summary:Chest pain can be an extremely worrying symptom for children and parents, but is typically benign and rarely cardiac in origin. It can become problematic for paediatricians in acute care balancing parental expectations and not missing sinister causes. In addition, ordering unnecessary tests can be expensive, can lead to a prolonged hospital stay and unnecessary referrals to clinics. The aim of this review is to give an overview of the common causes of chest pain in children and how to identify cardiac causes using case vignettes.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:1743-0585
1743-0593
DOI:10.1136/archdischild-2022-323911