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Chest pain in paediatrics: single centre experience

Authors:

Suliman Almesned ,

Qassim University, SA
About Suliman
Assistant Professor, Department of Surgery,
Medical College
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Ali Al-Akhfash,

Prince Sultan Cardiac Centre, Qassim, SA
About Ali
Consultant Paediatric Cardiologist
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Abdulrahman Almisnid,

University of Alberta Fellowship of Pediatric Cardiology and Prince Sultan Cardiac Centre, Qassim, SA
About Abdulrahman
Consultant Pediatric Cardiologist
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Fahad Almesned

Qassim University, SA
About Fahad
Medical Student, Medical College
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Abstract

Introduction: Unlike in adults, chest pain in children is usually benign, although it can be a cause of anxiety to the child and family.


Objective: Long term follow up of paediatric cases, referred to our clinic because of chest pain, since we started the paediatric cardiology service in PSCC-Qassim in 2006.


Method: A retrospective review was done of all children referred with a complaint of chest pain to the paediatric cardiology service in PSCC-Qassim from 2006 to 2018. Data were collected from the department database. Families were contacted to find out about the child’s chest pain and any other medical problems.


Results: Two hundred and forty two children were referred to our clinic for evaluation of chest pain from 2006. Of them 56% were girls. The mean age at referral was 9.1±2.4 years and the mean weight at referral was 30±12 kg. On initial presentation, only 6.6% patients reported that the chest pain had some relation to exercise. The commonest symptom was palpitation. On clinical examination, 20.6% patients had innocent murmurs. The electrocardiogram (ECG) was normal in 231 (95.4%) of the cases. Two hundred and nineteen (90.5%) cases had normal echocardiographic findings. There was no statistical significance between the presence of a murmur and abnormal echocardiographic findings. Follow up was done through telephone contact of families of cases seen in the clinic. The mean age at follow up was 12.8 ± 3.3 years. One hundred and ninety five (80.6%) stated that their children no longer have any chest pain. Forty eight (19.8%) reported that their children still had nonspecific chest pain that did not interfere with their day to day activities. Thirteen (5.4%) stated that their children had other medical problems like asthma, anaemia and hyperthyroidism. None of them reported sudden cardiac death in any of the children.


Conclusions: In this study carried out in the paediatric cardiology service in PSCC-Qassim, chest pain in children was benign. Follow up reported no sudden cardiac deaths in any of our cases.


Sri Lanka Journal of Child Health, 2021; 50(1): 83-86

How to Cite: Almesned, S., Al-Akhfash, A., Almisnid, A. and Almesned, F., 2021. Chest pain in paediatrics: single centre experience. Sri Lanka Journal of Child Health, 50(1), pp.83–86. DOI: http://doi.org/10.4038/sljch.v50i1.9407
Published on 05 Mar 2021.
Peer Reviewed

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