Chest pain in children referred to a cardiology clinic.
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.
Tunaoglu
F S
FS
Department of Pediatric Cardiology, School of Medicine, Gazi University, Besevler, Ankara, Turkey.
Olguntürk
R
R
Akcabay
S
S
Oguz
D
D
Gücüyener
K
K
Demirsoy
S
S
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