Cardiology 2013. Part II.
March 9, 2014
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)
Accession Number: 23538150
Keywords: Cardiac Surgical Procedures
Coronary Artery Disease/diagnosis/*therapy
Decision Support Techniques
*Percutaneous Coronary Intervention/adverse effects/standards
Periodicals as Topic
Practice Guidelines as Topic
Predictive Value of Tests
Severity of Illness Index
Notes: Serruys, Patrick W
EuroIntervention. 2013 Mar;8(11):1229. doi: 10.4244/EIJV8I11A188.
Reference Type: Journal Article
Record Number: 1077Author: Sert, A., Aypar, E., Odabas, D. and Gokcen, C.
Title: Clinical characteristics and causes of chest pain in 380 children referred to a paediatric cardiology unit
Journal: Cardiol Young
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)
Accession Number: 22874139
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.