Cardiology 2013. Part II.

Journal: EuroIntervention

Volume: 8

Issue: 11

Pages: 1229

Date: Mar

Short Title: On EEPs and e-blasts, cluster publishing, consensus and interventional cardiology

Alternate Journal: EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology

ISSN: 1969-6213 (Electronic)

1774-024X (Linking)

DOI: 10.4244/EIJV8I11A188

Accession Number: 23538150

Keywords: Cardiac Surgical Procedures

Consensus

Coronary Artery Disease/diagnosis/*therapy

Decision Support Techniques

Humans

*Percutaneous Coronary Intervention/adverse effects/standards

Periodicals as Topic

Practice Guidelines as Topic

Predictive Value of Tests

*Publishing

Risk Assessment

Risk Factors

Severity of Illness Index

Notes: Serruys, Patrick W

eng

Editorial

Introductory

France

2013/03/30 06:00

EuroIntervention. 2013 Mar;8(11):1229. doi: 10.4244/EIJV8I11A188.

URL: http://www.ncbi.nlm.nih.gov/pubmed/23538150

 

 

Reference Type:  Journal Article

Record Number: 1077Author: Sert, A., Aypar, E., Odabas, D. and Gokcen, C.

Year: 2013

Title: Clinical characteristics and causes of chest pain in 380 children referred to a paediatric cardiology unit

Journal: Cardiol Young

Volume: 23

Issue: 3

Pages: 361-7

Date: Jun

Short Title: Clinical characteristics and causes of chest pain in 380 children referred to a paediatric cardiology unit

Alternate Journal: Cardiology in the young

ISSN: 1467-1107 (Electronic)

1047-9511 (Linking)

DOI: 10.1017/S1047951112000881

Accession Number: 22874139

Keywords: Adolescent

Chest Pain/*diagnosis/*etiology/psychology

Child

Child, Preschool

Diagnosis, Differential

Electrocardiography

Female

Humans

Male

Prospective Studies

Referral and Consultation

Abstract: BACKGROUND: Chest pain is a common presenting complaint to paediatrics, paediatric cardiology, and paediatric emergency departments. In this study, we prospectively evaluated clinical characteristics and causes of chest pain in children referred to our paediatric cardiology unit. METHODS: A total of 380 children were included. Associated symptoms and past and family histories were evaluated. All patients underwent physical examination. The following studies were performed: complete blood count in all patients; fasting lipid profiles in overweight and obese children and children with a family history of premature cardiovascular disease; and electrocardiogram, chest X-ray, and echocardiogram in all patients. If necessary, 24-hour electrocardiogram monitoring or exercise stress tests were performed. Patients with a history of positive psychological findings were evaluated by a child psychiatrist. RESULTS: The most common causes of chest pain were musculoskeletal disorders (37.1%), idiopathic chest pain (29.2%), and miscellaneous disorders, for example precordial catch syndrome (15%), respectively. Only 1 of 380 (0.3%) patients had chest pain due to a cardiac disorder. Electrocardiograms were abnormal in 4 of 380 (1.1%) patients. A total of 9 of 380 patients (2.3%) had dyslipidaemia. CONCLUSIONS: Although a paediatric cardiology referral may provide reassurance to the primary care and emergency department physicians, our results show that cardiac aetiologies for paediatric chest pain are very rare. We think that many patients in our study were adequately evaluated only by careful history, and physical examination. Therefore, we suggest that it may not be necessary to use echocardiogram in the routine evaluation of children with chest pain.

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