title: Chest pain in children referred to a cardiology clinic.
abstract: One hundred consecutive patients (54 girls, 46 boys) referred to a pediatric cardiology department with the primary complaint of chest pain were evaluated. The age distribution was 2.5-16.0 years (mean 11.3 years for girls and 9.9 years for boys). The history showed 17% of patients with chest pain, 22% with heart disease, and 19% with recent death in the family. The time course of the pain was longer than 1 week in 92 patients. Localization was on the left precordium in 60 patients, and there was no radiation from the original site in 66 cases. Ninety-two percent of cases were idiopathic in origin. Of the 74 patients who had a psychiatric interview, 55 (74%) had psychiatric symptoms and 5 required psychiatric care. Anxiety, conversion disorder, and depression were the main psychiatric symptoms.
authors.affiliation: Department of Pediatric Cardiology, School of Medicine, Gazi University, Besevler, Ankara, Turkey.
authors.forename: F S
authors.initials: FS
authors.lastname: Tunaoglu
authors.forename: R
authors.initials: R
authors.lastname: Olguntürk
authors.forename: S
authors.initials: S
authors.lastname: Akcabay
authors.forename: D
authors.initials: D
authors.lastname: Oguz
authors.forename: K
authors.initials: K
authors.lastname: Gücüyener
authors.forename: S
authors.initials: S
authors.lastname: Demirsoy
mesh_terms: D000293:Adolescent; D002637:Chest Pain / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D009449:Neurocirculatory Asthenia / Q000175:diagnosis / Q000523:psychology; D010348:Patient Care Team; D010552:Personality Assessment; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000523:psychology; D012017:Referral and Consultation; D014421:Turkey / Q000453:epidemiology