Noncardiac chest pain A rational approach to a common complaint

Author(s):  
Gregory S. Watson
2021 ◽  
Author(s):  
Li Chen ◽  
Hongzhou Duan ◽  
Xiaoyan Li ◽  
Zuozhen Yang ◽  
Meng Jiao ◽  
...  

Abstract Background Chest pain is a common complaint at pediatric cardiology clinics and often leads to an extensive cardiac evaluation. In this study, we analyzed the causes of chest pain in Chinese children and developed criteria for targeted myocardial enzyme testing.Methods We retrospectively analyzed the clinical data of patients aged below 18 years visiting our hospital for chest pain between 2005 and 2019. Based on auxiliary exams and clinical diagnosis, we analyzed the positive rate of myocardial enzyme testing in identifying the causes of chest pain in children.Results A total of 7251 children were included in this study. The chest pain was of cardiac origin in 581 patients (8.0%). The incidence of noncardiac chest pain was significantly higher in the preschool group and the school-age group than in the adolescent group (93.5% vs 93.8% vs 90.3%, P < 0.05). Among children with cardiac chest pain, the most common concomitant symptom was chest tightness (67.0%). Myocardial enzyme testing was performed in 5408 patients and was abnormal in 453 (8.4%) patients.Conclusions In children, chest pain is mostly benign and rarely cardiac. During diagnosis, targeted myocardial enzyme testing based on medical history and physical examination can effectively reduce resource use.


Medicine ◽  
2015 ◽  
Vol 94 (51) ◽  
pp. e2295 ◽  
Author(s):  
Yang Won Min ◽  
Kyu Choi ◽  
Jeung Hui Pyo ◽  
Hee Jung Son ◽  
Poong-Lyul Rhee

1994 ◽  
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pp. 321-326 ◽  
Author(s):  
Robert L. Barkin ◽  
Jerrold B. Leikin ◽  
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Vol 27 (1) ◽  
pp. 42-45
Author(s):  
Fokke A.M. Jonkman ◽  
Marie-Lore Jonkman-Buidin ◽  
Pieter W.J. Stolwijk

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pp. 293-300 ◽  
Author(s):  
Takahisa Yamasaki ◽  
Ronnie Fass

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Vol 45 (6) ◽  
pp. 469 ◽  
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Sung-Hun Park ◽  
Ja Yeon Choi ◽  
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Vol 10 (1) ◽  
pp. 51-51 ◽  
Author(s):  
Daniela Husser ◽  
Andreas Bollmann ◽  
Christian Kühne ◽  
Jochen Molling ◽  
Helmut U. Klein

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