Arrhythmogenic causes of chest pain in children.
Although cardiac causes of chest pain in children are infrequent, arrhythmias are implicated in most cardiac related cases. The most common arrhythmias associated with chest pain are supraventricular tachycardias, but more ominous rhythms, such as ventricular tachycardia or bradycardias, can manifest as chest pain. Investigation of all children with chest pain suspected of arrhythmia should include detailed history and physical examination and a 12- or 15-lead electrocardiogram. In some cases echocardiogram, 24-hour Holter monitoring, exercise stress testing, or other cardiac evaluations may be indicated. Children with a history of cardiac disease or cardiac surgery are particularly at risk for arrhythmias and may experience chest pain in association with their arrhythmias.
Division of Pediatric Cardiology, Morgan Stanley Children's Hospital of New York-Presbyterian, Columbia University Medical Center, 3959 Broadway, CHN2, New York, NY 10032, USA.
Brett R
BR
Anderson
Victoria L
VL
Vetter
D001145:Arrhythmias, Cardiac / Q000150:complications*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D002648:Child; D003937:Diagnosis, Differential; D003935:Diagnostic Techniques, Cardiovascular; D006801:Humans