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Journal of the Korean Pediatric Society 2003;46(12):1248-1252.
Clinical Evaluation and Diagnosis of Children with Chest Pain
Su A Shin1, Yong Joo Kim1, Jae Whan Lee2, Nam Su Kim1, Soo Ji Moon1
1Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea
2Sungmo F.M. Clinic, Seoul, Korea
흉부 통증을 호소한 소아에서의 임상적 고찰 및 검사
신수아1, 김용주1, 이재환2, 김남수1, 문수지1
1한양대학교 의과대학 소아과학교실
2성모 가정의학과의원
Correspondence:  Yong Joo Kim,
Email: kyjoo@hanyang.ac.kr
Abstract
Purpose
: Chest pain in the pediatric population is not rare and mostly benign. Causes of chest pain are diverse, and differential diagnosis is not easy. Chest pain in children is less likely to be cardiac in origin. Furthermore, chest pain in the pediatric population is rarely associated with life-threatening disease. This study was designed to evaluate children with chest pain and the usefulness of several diagnostic examinations.
Methods
: Between March 2001 and August 2002, 33 patients(15 boys and 18 girls, aged four to 15 years) presented with chronic chest pain. The records of these patients were reviewed. Chest radiography and electrocardiogram were performed in all patients. Cardiologic and gastrointestinal evaluations were carried out when considered necessary.
Results
: Chest pain was most common in the age group of 10 to 12 years old, and the four to six years old group. The most common diagnostic findings of chest pain were idiopathic(15 cases, 45.5 %), heart disease(9 cases, 27.3%), upper gastrointestinal disease(6 cases, 18.2%), respiratory disease (2 cases, 6%) and trauma(1 case, 3%). In children with abnormal results of cardiologic evaluation, these findings are not major etiologic categories of chest pain. Through history taking and physical examinations, six cases were evaluated concerning gastrointestinal disease and all of them showed gastrointestinal diseases(esophagitis, gastroesophageal reflux disease, nodular gastritis and chronic superficial gastritis).
Conclusion
: Chest pain is usually benign in children but the possibility of cardiovascular or gastrointestinal disease is considered. Careful history taking, physical examination and proper clinical examinations are usually required to find out the rare life-threatening causes of chest pain.
Key Words: Chest pain, Children, Benign, Cardiovascular disease, Gastrointestinal disease


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