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This review provides a framework for cardiologists to evaluate and manage chest pain in adolescents and young adults, emphasizing that the majority of cases are noncardiac.
Pediatric cardiologists and cardiologists who examine adults frequently receive referrals of adolescents and young adults with chest pain. Chest pain in this age group is most likely noncardiac in origin, which often creates a diagnostic dilemma for the consultant in terms of the etiology and extent of evaluation. This review presents the noncardiac and cardiac etiologies of chest pain in adolescents and young adults, as well as the key features of a patient's history and physical examination that help delineate cardiac from noncardiac chest pain. In addition, we present recommendations for the cardiac consultant regarding the evaluation and management of adolescents and young adults referred with the complaint of chest pain.
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Talner et al. (2000) studied this question.
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