Adolescent Chest Pain—Is It the Heart?

Adolescents frequently present to the emergency department with chest pain. Unlike adult patients with chest pain, most studies have shown that adolescents with this complaint rarely have serious organic pathology. For many adolescents, the symptom of chest pain is not acute in nature, and it is unc...

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Veröffentlicht in:Clinical pediatric emergency medicine 2011-12, Vol.12 (4), p.289-300
Hauptverfasser: Selbst, Steven M., MD, Palermo, Robert, DO, Durani, Yamini, MD, Giordano, Katie, DO
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container_title Clinical pediatric emergency medicine
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creator Selbst, Steven M., MD
Palermo, Robert, DO
Durani, Yamini, MD
Giordano, Katie, DO
description Adolescents frequently present to the emergency department with chest pain. Unlike adult patients with chest pain, most studies have shown that adolescents with this complaint rarely have serious organic pathology. For many adolescents, the symptom of chest pain is not acute in nature, and it is uncommon for an adolescent with this complaint to present with significant distress or require immediate resuscitation. However, an adolescent with chest pain should still be approached carefully and promptly because serious medical conditions can be present. The emergency physician should consider important cardiac causes of chest pain in adolescents, such as hypertrophic cardiomyopathy, drug abuse (cocaine and others), myocarditis, and pericarditis.
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subjects adolescents
Cardiovascular disease
chest pain
Emergency
Heart attacks
heart disease
Mortality
myocardial infarction
Teenagers
title Adolescent Chest Pain—Is It the Heart?
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