Evaluation of Children and Adolescents Admitted to the Emergency Department with Complaints of Chest Pain

Doğan M., Baykan A., Özer U., Kalın Güngör T., Sunkak S., Öztürk M. A.

GUNCEL PEDIATRI, cilt.20, sa.2, ss.122-127, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 2
  • Basım Tarihi: 2022
  • Doi Numarası: 10.4274/jcp.2022.15428
  • Dergi Adı: GUNCEL PEDIATRI
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database
  • Sayfa Sayıları: ss.122-127
  • Anahtar Kelimeler: Chest pain, adolescent, psychogenic
  • Erciyes Üniversitesi Adresli: Evet

Özet

department presentation. The possibility of heart originated pain frightens the

family. There is no pathology in most of the cases. Here, we aimed to evaluate

the etiological causes of children and adolescents who admitted to the pediatric

emergency service with complaint of CP.

Materials and Methods: Two hundred ninety eight cases aged between 8 and

18 years who admitted to the emergency service with GA complaints between

February 2018 and 2019 were included in the study. Demographic characteristics,

physical examinations, laboratory findings and diagnoses of the patients were

analyzed retrospectively.

Results: The most common causes of CP were determined as idiopathic (50.3%),

musculoskeletal system (24.1%) and psychogenic (10.2%). Most of the patients

were over 12 years old (n=169, 58.7%) and female (n=155, 53.8%). There

was no significant difference in terms of age and gender (p=0.06, p=0.07).The

cardiac causes was found to be 4.5% of the all causes. The most common cardiac

causes were mitral valve prolapse and mitral insufficiency. Psychogenic causes

were higher in females, and psychogenic causes were anxiety, panic attack and

depression, respectively.

Conclusion: Most of CP in children is due to non-cardiac causes. Although the

most common cause of GA is idiopathic, the incidence of psychogenic causes in

CP etiology is gradually increasing in adolescents. As a result of detailed history,

physical examination and laboratory tests, families should be informed and felt

comforted about the diagnosis of the patients.