Chest pain in children and adolescents - the heart?

Pfammatter, Jean-Pierre (2012). Chest pain in children and adolescents - the heart? Praxis - schweizerische Rundschau für Medizin, 101(17), pp. 1099-1103. Bern: Huber 10.1024/1661-8157/a001039

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Chest pain in children and adolescents is a frequent observation, although potentially relevant disease is rather rare and then found in situations with acute presentation. In children with an inflammatory/infectious clinical context the differential diagnosis is oesophagitis, pleuropneumonia or pericarditis. Potentially dangerous complications may be found in youth with predisposing conditions for aortic dissection, pneumothorax or pulmonary embolism, or even in rare instances for an acute coronary complication. In these cases aggressive diagnostic work-up is mandatory. In the frequent elective outpatient evaluation of teenagers with long-lasting episodes of chest pain, relevant underlying cardiovascular disease only rarely can be found as the cause. In the elective outpatient evaluation for chest pain, usually patient history and clinical examination may be enough to track the problem, the main role of the physician is to provide reassurance with minimal but appropriate testing.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Pfammatter, Jean-Pierre

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-8157

ISBN:

1661-8157 (Print);16

Publisher:

Huber

Language:

German

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:41

Last Modified:

14 Jan 2015 21:34

Publisher DOI:

10.1024/1661-8157/a001039

PubMed ID:

22915512

BORIS DOI:

10.7892/boris.16603

URI:

https://boris.unibe.ch/id/eprint/16603 (FactScience: 224275)

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