Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department
Pediatric chest pain is a common chief complaint in the emergency department. Not surprisingly, children with chest pain are usually brought to the emergency department by their parents out of fear of heart disease. However, chest pain in the pediatric population is generally a benign disease. In th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/5/526 |
| _version_ | 1827319742246944768 |
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| author | Szu-Wei Huang Ying-Kuo Liu |
| author_facet | Szu-Wei Huang Ying-Kuo Liu |
| author_sort | Szu-Wei Huang |
| collection | DOAJ |
| description | Pediatric chest pain is a common chief complaint in the emergency department. Not surprisingly, children with chest pain are usually brought to the emergency department by their parents out of fear of heart disease. However, chest pain in the pediatric population is generally a benign disease. In this review, we have identified musculoskeletal pain as the most prevalent etiology of chest pain in the pediatric population, accounting for 38.7–86.3% of cases, followed by pulmonary (1.8–12.8%), gastrointestinal (0.3–9.3%), psychogenic (5.1–83.6%), and cardiac chest pain (0.3–8.0%). Various diagnostic procedures are commonly used in the emergency department for cardiac chest pain, including electrocardiogram (ECG), chest radiography, cardiac troponin examination, and echocardiography. However, these examinations demonstrate limited sensitivity in identifying cardiac etiologies, with sensitivities ranging from 0 to 17.8% for ECG and 11.0 to 17.2% for chest radiography. To avoid the overuse of these diagnostic tools, a well-designed standardized algorithm for pediatric chest pain could decrease unnecessary examination without missing severe diseases. |
| first_indexed | 2024-04-25T00:32:42Z |
| format | Article |
| id | doaj.art-e247ea8b5a5a4565b6a8e8f7bf11bc81 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-04-25T00:32:42Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-e247ea8b5a5a4565b6a8e8f7bf11bc812024-03-12T16:42:04ZengMDPI AGDiagnostics2075-44182024-03-0114552610.3390/diagnostics14050526Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency DepartmentSzu-Wei Huang0Ying-Kuo Liu1Emergency Department, Wan Fang Hospital, Taipei Medical University, Taipei 11695, TaiwanDepartment of Pediatrics, Wan Fang Hospital, Taipei Medical University, Taipei 11695, TaiwanPediatric chest pain is a common chief complaint in the emergency department. Not surprisingly, children with chest pain are usually brought to the emergency department by their parents out of fear of heart disease. However, chest pain in the pediatric population is generally a benign disease. In this review, we have identified musculoskeletal pain as the most prevalent etiology of chest pain in the pediatric population, accounting for 38.7–86.3% of cases, followed by pulmonary (1.8–12.8%), gastrointestinal (0.3–9.3%), psychogenic (5.1–83.6%), and cardiac chest pain (0.3–8.0%). Various diagnostic procedures are commonly used in the emergency department for cardiac chest pain, including electrocardiogram (ECG), chest radiography, cardiac troponin examination, and echocardiography. However, these examinations demonstrate limited sensitivity in identifying cardiac etiologies, with sensitivities ranging from 0 to 17.8% for ECG and 11.0 to 17.2% for chest radiography. To avoid the overuse of these diagnostic tools, a well-designed standardized algorithm for pediatric chest pain could decrease unnecessary examination without missing severe diseases.https://www.mdpi.com/2075-4418/14/5/526chest painpediatric chest paindiagnosisultrasoundechocardiographyX-ray |
| spellingShingle | Szu-Wei Huang Ying-Kuo Liu Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department Diagnostics chest pain pediatric chest pain diagnosis ultrasound echocardiography X-ray |
| title | Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department |
| title_full | Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department |
| title_fullStr | Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department |
| title_full_unstemmed | Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department |
| title_short | Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department |
| title_sort | pediatric chest pain a review of diagnostic tools in the pediatric emergency department |
| topic | chest pain pediatric chest pain diagnosis ultrasound echocardiography X-ray |
| url | https://www.mdpi.com/2075-4418/14/5/526 |
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