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J Korean Med Assoc > Volume 53(5); 2010 > Article
Yoon: Chest Pain in Children and Adolescents

Abstract

Chest pain is a very common symptom in children and adolescents. Musculoskeletal pain is the most common cause of their chest pain and the cardiac cause is very rare in children and adolescents. However, evaluation is required for every patient with chest pain, especially for those with the history and physical examination of importance. For common chest pains, reassurance and education of the patient and the parents about their benign nature is sufficient. On the other hand, chest pain on exertion, symptoms of myocardial ischemia, or abnormal cardiac examinations are more likely to be of cardiac origin, and prompt referral to a pediatric cardiologist is recommended.

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Table 1
Noncardiac causes of chest pain in children
jkma-53-407-i001-l.jpg
Table 2
Cardiac causes of pediatric chest pain
jkma-53-407-i002-l.jpg

ALCA: anomalous left coronary artery, ALCAPA: anomalous origin of the left coronary artery from pulmonary artery, LVOT: left ventricular outflow tract, SLE: systemic lupus erythematosus

Table 3
History and physical examination of a pediatric patient who has chest pain
jkma-53-407-i003-l.jpg
Table 4
Reasons to refer children who have chest pain to a cardiologist
jkma-53-407-i004-l.jpg


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