Key result
Chest pain in young patients yields a cardiac diagnosis in only 2.5%, regardless of exertion.
Why the study?
The incidence of cardiac diagnoses related to chest pain in young patients and the association with exertional chest pain were not well defined.
Observational (n=203)
In young patients evaluated in a pediatric cardiology office for chest pain, cardiac diagnoses are rare and not predicted by exertional symptoms.
Answers are grounded in this paper and cite their sources.
Cardiac etiologies rare after pediatric referral for chest pain; leaves open prospective validation of evaluation strategies.
This study determined the incidence of cardiac diagnoses demonstrably related to chest pain in young patients and determined whether those with exertional chest pain were more likely to have a cardiac diagnosis. It evaluated the course of patients with chest pain after pediatric cardiology evaluation regarding interventions, outcomes, and additional test burden. This was a retrospective study of 203 patients with an office pediatric cardiology assessment of chest pain from January 2000 through December 2004. Fifteen patients (7.4%) had cardiac diagnoses, 5 (2.5%) had cardiac diagnoses demonstrably related to their chest pain complaints (arrhythmias, mitral valve prolapse), and none had ischemia. Exertional chest pain, in this study, did not increase the risk of having a cardiac diagnosis. Following evaluation, 80% of patients did not return for complaints of chest pain. Ten percent had 2 or more additional visits to any medical site for chest pain but no additional cardiac diagnoses were found.
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Cohn et al. (2012) conducted an observational in Chest pain (n=203). Exertional chest pain was evaluated on Cardiac diagnoses demonstrably related to chest pain. Among 203 young patients evaluated for chest pain, only 2.5% had a related cardiac diagnosis, and exertional chest pain did not increase the risk of having a cardiac diagnosis.
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