Needles in Hay: Chest Pain as the Presenting Symptom in Children with Serious Underlying Cardiac Pathology

484 patients aged 7 to 21 years diagnosed with 1 of 9 serious cardiac diseases (aortic dissection, coronary anomalies, dilated cardiomyopathy, hypertrophic cardiomyopathy, myocarditis, pericarditis, pulmonary embolus, pulmonary hypertension, and Takayasu arteritis) between 2000 and 2009 at Children's Hospital Boston. Excluded: previously diagnosed congenital or acquired heart disease.

Clinical signs and symptoms of patients presenting with chest pain