Göğüs Ağrısı olan Çocuğa Yaklaşım

Osman Güvenç

Review

Göğüs Ağrısı olan Çocuğa Yaklaşım

Year 2019, Volume: 28 Issue: 1, 1 - 10, 31.03.2019

Osman Güvenç

Abstract

Göğüs ağrısı çocuklarda sık görülen, hastayı ve
ailesini endişelendiren bir yakınmadır. Çocuk kardiyoloji ve genel çocuk
polikliniği ile acil serviste çok sık görülür. Çocuklarda genellikle kalp dışı
nedenlere bağlı olarak ortaya çıkar ama seyrekte olsa ciddi bir kalp hastalığı
da olabilir. Hekim, göğüs ağrısının ayırımını yapmalı, kardiyak bir neden olup
olmadığını belirlemeli, hastayı ve ebeveynleri rahatlatmalıdır. Bu yazıda,
göğüs ağrısı şikayetiyle başvuran çocuklara yaklaşımın gözden geçirilmesi
amaçlandı.

Keywords

Çocuk, göğüs ağrısı

References

1. Kocis KC. Chest pain in pediatrics. Pediatr Clin North Am 1999;46:189-203.
2. Rowe BH, Dulberg CS, Peterson RG, Vlad P, Li MM. Characteristics of children presenting with chest pain to a pediatric emergency department. CMAJ 1990;143:388-94.
3. Johnson JN, Driscoll DJ. Chest pain in children and adolescents. In Heart Disease in Infants, Children and Adolescents. 8th ed (Eds Allen HD, Driscoll DJ, Shaddy RE, Feltes TF):1509-13. Lippincott Williams Wilkins 2013.
4. Ruigómez A, Rodríguez LA, Wallander MA, Johansson S, Jones R. Fam Pract. Chest pain in general practice: incidence, comorbidity and mortality. 2006;23:167-74.
5. Alp H, Alp E. Çocuk kardiyoloji kliniğine göğüs ağrısı nedeniyle başvuran çocukların etiyolojik değerlendirilmesi. The Journal of Pediatric Research 2014;1:80-3.
6. Karaaslan S. Çocukluk çağında görülen göğüs ağrıları. Turkiye Klinikleri 2003;1:228-39.
7. Evangelista JA, Parsons M, Renneburg AK.Chest pain in children: diagnosis through history and physical examination. J Pediatr Health Care 2000;14:3-8.
8. Bostan ÖM. Çocuklarda ve adölesanlarda göğüs ağrısı. Güncel Pediatri Dergisi 2006;2:26-30.
9. Selbst SM. Approach to the child with chest pain. Pediatr Clin North Am 2010;57:1221-34.
10. Newburger JW, Alexander ME, Fulton DR. Innocent murmurs, syncope and chest pain. In Nadas’ Pediatric Cardiology. 2nd ed (Eds Keane JF, Lock JE, Fyler DC):357-71. Philadelphia Saunders Elsevier 2006.
11. Kane DA, Fulton DR, Saleeb S, Zhou J, Lock JE, Geggel RL. Needles in hay: chest pain as the presenting symptom in children with serious underlying cardiac pathology. Congenit Heart Dis 2010;5:366-73.
12. Jindal A, Singhi S. Acute chest pain. Indian J Pediatr 2011;78:1262-7.
13. Selbst S. Chest pain in children. Pediatrics 1985;75:1068-70.
14. Park MK. Child with chest pain. In Park’s Pediatric Cardiology for Practitioners. 6th ed (Ed Park MK):495-504. Philadelphia Elsevier Saunders 2014.
15. Akalın F. Adölesanda göğüs ağrısına yaklaşım. Türk Pediatri Arşivi 2010;3:164-6.
16. Güvenç O, Kaya F, Arslan D, Çimen D, Oran B. Göğüs Ağrısı Olan 441 Çocuk Hastanın Değerlendirilmesi. Selçuk Tıp Derg 2014;30:159-61.
17. Saleeb SF, Li WY, Warren SZ, Lock JE. Effectiveness of screening for lifethreatening chest pain in children. Pediatrics 2011;128:1062-8.
18. Kervancıoğlu M, Devecioğlu C, Okur N. Çocuk kardiyoloji polikliniğine göğüs ağrısı yakınmasıyla başvuran hastaların değerlendirilmesi. Dicle Tıp Dergisi 2005;32:196-200.
19. Milov DE, Kantor RJ. Chest pain in teenagers. When is it significant? Postgrad Med 1990;88:145-8.
20. Fam AG, Smythe HA. Musculoskeletal chest wall pain. Can Med Assoc J 1985;133:379-89.
21. Brown RT. Costochondritis in adolescents. J adolesc Health Care 1981;1:198-201.
22. Saltzman DA, Schmitz ML, Smith SD, Wagner CW, Jackson RJ, Harp S. The slipping rib syndrome in children. Paediatr Anaesth 2001;11:740-3.
23. Mooney DP, Shorter NA.Slipping rib syndrome in childhood. J Pediatr Surg 1997;32:1081-2.
24. Fu R, Iqbal CW, Jaroszewski DE, St Peter SD. Costal cartilage excision for the treatment of pediatric slipping rib syndrome. J Pediatr Surg 2012;47:1825-7.
25. Gregory PL, Biswas AC, Batt ME. Musculoskeletal problems of the chest wall in athletes. Sports Med 2002;32:235-50.
26. Gumbiner CH. Precordial catch syndrome. South Med J 2003;96:38-41.
27. Özbarlas N. Göğüs ağrıları. Güncel Pediatri Dergisi 2008;6:173-5.
28. Çağdaş DN, Paç FA. Cardiac chest pain in children. Anatol J Cardiol 2009;9:401-406.
29. Long WB, Cohen S. The digestive tract as a cause of chest pain. Heart J 1980;100:567-72.
30. Uner A, Doğan M, Odabaşı D, Peker E, Çağan E, Çaksen H. Çocuk kardiyoloji polikliniğine göğüs ağrısı ile getirilen çocukların değerlendirilmesi. Tıp Araştırmaları Dergisi 2010;8:76-82.
31. Friedman KG, Alexander ME. Chest pain and syncope in children: a practical approach to the diagnosis of cardiac disease. J Pediatr. 2013;163:896-901.
32. Aydın GB, Tunaoğlu FS, Olguntürk R, Kula S. Pediatrik Kardiyoloji Kliniğine göğüs ağrısı nedeni ile başvuran hastaların etyolojik değerlendirilmesi. Türkiye Klin Pediatr Derg 2002;11:70-75.
33. Wiens L, Sabath R, Ewing L, Gowdamarajan R, Portnoy J, Scagliotti D. Chest pain in otherwise healthy children and adolescents is frequently caused by exercise-induced asthma. Pediatrics 1992;90:350-3.
34. Eini ZM, Houri S, Cohen I, Sion R, Tamir A, Sasson L, et al. Massive pulmonary emboli in children: does fiber-optic-guided embolectomy have a role? Review of the literature and report of two cases. Chest 2013;143:544-9.
35. Bernstein D, Coupey S, Schonberg SK. Pulmonary embolism in adolescents. Am J Dis Child 1986;140:667-71.
36. Asnes RS, Santulli R, Bemporad JR. Psychogenic chest pain in children. Clin Pediatr 1981;20:788-91.
37. Fyfe DA, Moodie DS. Chest pain in pediatric patients presenting to a cardiac clinic. Clin Pediatr 1984;23:321-4.
38. Ergül Y, Dindar A. Göğüs ağrısı. In Çocuk Acil Tıp, kapsamlı ve kolay yaklaşım. (Eds Karaböcüoğlu M, Yılmaz HL, Duman M):463-6. İstanbul Tıp Kitabevi 2012.
39. Danduran MJ, Earing MG, Sheridan DC, Ewalt LA, Frommelt PC. Chest pain: characteristics of children/adolescents. Pediatr Cardiol 2008;29:775-81.
40. Sert A, Aypar E, Odabaş D, Gökçen C. Clinical characteristics and causes of chest pain in 380 children referred to a paediatric cardiology unit. Cardiology in the Young 2012:1-7.
41. Park MK. Obstructive lesions. In: Park MK, editor. Park’s Pediatric Cardiology for Practitioners. Philadelphia: Elsevier Saunders; 2014:184-205.
42. Matamala-Morillo MÁ, Rodríguez-González M, Segado-Arenas A. Chest pain with ischemic electrocardiographic changes: mitral valve prolapse in pediatrics. Case report. Arch Argent Pediatr 2015;113:17-20.
43. Verde F, Johnson PT, Jha S, Fishman EK, Zimmerman SL. Congenital absence of the pericardium and its mimics. J Cardiovasc Comput Tomog 2013;7:11-7.
44. Vetter VL, Covington TM, Dugan NP, Haley DM, Dykstra H, Overpeck M, et al. Cardiovascular deaths in children: general overview from the National Center for the Review and Prevention of Child Deaths. Am Heart J 2015;169:426-37.
45. Zanjani KS, Niwa K. Aortic dilatation and aortopathy in congenital heart diseases. J Cardiol 2013;61(1):16-21.
46. Roodpeyma S, Sadeghian N. Acute pericarditis in childhood: a 10-year experience. Pediatr Cardiol 2000;21:363-7.
47. Kühl U, Schultheiss HP. Myocarditis in children. Heart Fail Clin 2010;6:483-96.
48. Benzaquen BS, Cohen V, Eisenberg MJ. Effects of cocaine on the coronary arteries. Am Heart J 2001 Sep;142:402-10.
49. Ugan Atik S, Dedeoğlu R, Varol F, Çam H, Güler Eroğlu A, Saltık L. Bonzai kullanımına bağlı kalp ve damar sistemi yan etkileri: İki olgu sunumu. Türk Ped Arş 2015;50:61-4.
50. Ayhan H, Aslan AN, Süygün H, Durmaz T. Bonzai kullanımı sonrası ortaya çıkan akut miyokard infarktüsü. Türk Kardiyol Dern Arş 2014;42:560-3.
51. Castaneto MS, Gorelick DA, Desrosiers NA, Hartman RL, Pirard S, Huestis MA. Synthetic cannabinoids: epidemiology, pharmacodynamics, and clinical implications. Drug Alcohol Depend 2014;144:12-41.
52. Şanlı C, Akalın N, Koçak Ü, Erol R, Albayrak M, Aliefendioğlu D, ve ark. Göğüs Ağrısı ile Başvuran Çocuklarda Nedenlerin Değerlendirilmesi. Turkiye Klinikleri J Pediatr 2006;15:46-51.

Approach to Child with Chest Pain

Year 2019, Volume: 28 Issue: 1, 1 - 10, 31.03.2019

Osman Güvenç

Abstract

Chest pain is a symptom with a high incidence among children, which is worrying for the patient and family. It is very frequently seen at the pediatric cardiology and general pediatric outpatient clinic as well as emergency service. It generally arises in children due to non-cardiac reasons; however, it may also be a serious heart disease in rare situations. The physician should differentiate the chest pain, determine whether there is a cardiac reason and reassure the patient and parents. This paper aims to review the approach to children presenting with chest pain symptom.

Keywords

chest pain, child

References

1. Kocis KC. Chest pain in pediatrics. Pediatr Clin North Am 1999;46:189-203.
2. Rowe BH, Dulberg CS, Peterson RG, Vlad P, Li MM. Characteristics of children presenting with chest pain to a pediatric emergency department. CMAJ 1990;143:388-94.
3. Johnson JN, Driscoll DJ. Chest pain in children and adolescents. In Heart Disease in Infants, Children and Adolescents. 8th ed (Eds Allen HD, Driscoll DJ, Shaddy RE, Feltes TF):1509-13. Lippincott Williams Wilkins 2013.
4. Ruigómez A, Rodríguez LA, Wallander MA, Johansson S, Jones R. Fam Pract. Chest pain in general practice: incidence, comorbidity and mortality. 2006;23:167-74.
5. Alp H, Alp E. Çocuk kardiyoloji kliniğine göğüs ağrısı nedeniyle başvuran çocukların etiyolojik değerlendirilmesi. The Journal of Pediatric Research 2014;1:80-3.
6. Karaaslan S. Çocukluk çağında görülen göğüs ağrıları. Turkiye Klinikleri 2003;1:228-39.
7. Evangelista JA, Parsons M, Renneburg AK.Chest pain in children: diagnosis through history and physical examination. J Pediatr Health Care 2000;14:3-8.
8. Bostan ÖM. Çocuklarda ve adölesanlarda göğüs ağrısı. Güncel Pediatri Dergisi 2006;2:26-30.
9. Selbst SM. Approach to the child with chest pain. Pediatr Clin North Am 2010;57:1221-34.
10. Newburger JW, Alexander ME, Fulton DR. Innocent murmurs, syncope and chest pain. In Nadas’ Pediatric Cardiology. 2nd ed (Eds Keane JF, Lock JE, Fyler DC):357-71. Philadelphia Saunders Elsevier 2006.
11. Kane DA, Fulton DR, Saleeb S, Zhou J, Lock JE, Geggel RL. Needles in hay: chest pain as the presenting symptom in children with serious underlying cardiac pathology. Congenit Heart Dis 2010;5:366-73.
12. Jindal A, Singhi S. Acute chest pain. Indian J Pediatr 2011;78:1262-7.
13. Selbst S. Chest pain in children. Pediatrics 1985;75:1068-70.
14. Park MK. Child with chest pain. In Park’s Pediatric Cardiology for Practitioners. 6th ed (Ed Park MK):495-504. Philadelphia Elsevier Saunders 2014.
15. Akalın F. Adölesanda göğüs ağrısına yaklaşım. Türk Pediatri Arşivi 2010;3:164-6.
16. Güvenç O, Kaya F, Arslan D, Çimen D, Oran B. Göğüs Ağrısı Olan 441 Çocuk Hastanın Değerlendirilmesi. Selçuk Tıp Derg 2014;30:159-61.
17. Saleeb SF, Li WY, Warren SZ, Lock JE. Effectiveness of screening for lifethreatening chest pain in children. Pediatrics 2011;128:1062-8.
18. Kervancıoğlu M, Devecioğlu C, Okur N. Çocuk kardiyoloji polikliniğine göğüs ağrısı yakınmasıyla başvuran hastaların değerlendirilmesi. Dicle Tıp Dergisi 2005;32:196-200.
19. Milov DE, Kantor RJ. Chest pain in teenagers. When is it significant? Postgrad Med 1990;88:145-8.
20. Fam AG, Smythe HA. Musculoskeletal chest wall pain. Can Med Assoc J 1985;133:379-89.
21. Brown RT. Costochondritis in adolescents. J adolesc Health Care 1981;1:198-201.
22. Saltzman DA, Schmitz ML, Smith SD, Wagner CW, Jackson RJ, Harp S. The slipping rib syndrome in children. Paediatr Anaesth 2001;11:740-3.
23. Mooney DP, Shorter NA.Slipping rib syndrome in childhood. J Pediatr Surg 1997;32:1081-2.
24. Fu R, Iqbal CW, Jaroszewski DE, St Peter SD. Costal cartilage excision for the treatment of pediatric slipping rib syndrome. J Pediatr Surg 2012;47:1825-7.
25. Gregory PL, Biswas AC, Batt ME. Musculoskeletal problems of the chest wall in athletes. Sports Med 2002;32:235-50.
26. Gumbiner CH. Precordial catch syndrome. South Med J 2003;96:38-41.
27. Özbarlas N. Göğüs ağrıları. Güncel Pediatri Dergisi 2008;6:173-5.
28. Çağdaş DN, Paç FA. Cardiac chest pain in children. Anatol J Cardiol 2009;9:401-406.
29. Long WB, Cohen S. The digestive tract as a cause of chest pain. Heart J 1980;100:567-72.
30. Uner A, Doğan M, Odabaşı D, Peker E, Çağan E, Çaksen H. Çocuk kardiyoloji polikliniğine göğüs ağrısı ile getirilen çocukların değerlendirilmesi. Tıp Araştırmaları Dergisi 2010;8:76-82.
31. Friedman KG, Alexander ME. Chest pain and syncope in children: a practical approach to the diagnosis of cardiac disease. J Pediatr. 2013;163:896-901.
32. Aydın GB, Tunaoğlu FS, Olguntürk R, Kula S. Pediatrik Kardiyoloji Kliniğine göğüs ağrısı nedeni ile başvuran hastaların etyolojik değerlendirilmesi. Türkiye Klin Pediatr Derg 2002;11:70-75.
33. Wiens L, Sabath R, Ewing L, Gowdamarajan R, Portnoy J, Scagliotti D. Chest pain in otherwise healthy children and adolescents is frequently caused by exercise-induced asthma. Pediatrics 1992;90:350-3.
34. Eini ZM, Houri S, Cohen I, Sion R, Tamir A, Sasson L, et al. Massive pulmonary emboli in children: does fiber-optic-guided embolectomy have a role? Review of the literature and report of two cases. Chest 2013;143:544-9.
35. Bernstein D, Coupey S, Schonberg SK. Pulmonary embolism in adolescents. Am J Dis Child 1986;140:667-71.
36. Asnes RS, Santulli R, Bemporad JR. Psychogenic chest pain in children. Clin Pediatr 1981;20:788-91.
37. Fyfe DA, Moodie DS. Chest pain in pediatric patients presenting to a cardiac clinic. Clin Pediatr 1984;23:321-4.
38. Ergül Y, Dindar A. Göğüs ağrısı. In Çocuk Acil Tıp, kapsamlı ve kolay yaklaşım. (Eds Karaböcüoğlu M, Yılmaz HL, Duman M):463-6. İstanbul Tıp Kitabevi 2012.
39. Danduran MJ, Earing MG, Sheridan DC, Ewalt LA, Frommelt PC. Chest pain: characteristics of children/adolescents. Pediatr Cardiol 2008;29:775-81.
40. Sert A, Aypar E, Odabaş D, Gökçen C. Clinical characteristics and causes of chest pain in 380 children referred to a paediatric cardiology unit. Cardiology in the Young 2012:1-7.
41. Park MK. Obstructive lesions. In: Park MK, editor. Park’s Pediatric Cardiology for Practitioners. Philadelphia: Elsevier Saunders; 2014:184-205.
42. Matamala-Morillo MÁ, Rodríguez-González M, Segado-Arenas A. Chest pain with ischemic electrocardiographic changes: mitral valve prolapse in pediatrics. Case report. Arch Argent Pediatr 2015;113:17-20.
43. Verde F, Johnson PT, Jha S, Fishman EK, Zimmerman SL. Congenital absence of the pericardium and its mimics. J Cardiovasc Comput Tomog 2013;7:11-7.
44. Vetter VL, Covington TM, Dugan NP, Haley DM, Dykstra H, Overpeck M, et al. Cardiovascular deaths in children: general overview from the National Center for the Review and Prevention of Child Deaths. Am Heart J 2015;169:426-37.
45. Zanjani KS, Niwa K. Aortic dilatation and aortopathy in congenital heart diseases. J Cardiol 2013;61(1):16-21.
46. Roodpeyma S, Sadeghian N. Acute pericarditis in childhood: a 10-year experience. Pediatr Cardiol 2000;21:363-7.
47. Kühl U, Schultheiss HP. Myocarditis in children. Heart Fail Clin 2010;6:483-96.
48. Benzaquen BS, Cohen V, Eisenberg MJ. Effects of cocaine on the coronary arteries. Am Heart J 2001 Sep;142:402-10.
49. Ugan Atik S, Dedeoğlu R, Varol F, Çam H, Güler Eroğlu A, Saltık L. Bonzai kullanımına bağlı kalp ve damar sistemi yan etkileri: İki olgu sunumu. Türk Ped Arş 2015;50:61-4.
50. Ayhan H, Aslan AN, Süygün H, Durmaz T. Bonzai kullanımı sonrası ortaya çıkan akut miyokard infarktüsü. Türk Kardiyol Dern Arş 2014;42:560-3.
51. Castaneto MS, Gorelick DA, Desrosiers NA, Hartman RL, Pirard S, Huestis MA. Synthetic cannabinoids: epidemiology, pharmacodynamics, and clinical implications. Drug Alcohol Depend 2014;144:12-41.
52. Şanlı C, Akalın N, Koçak Ü, Erol R, Albayrak M, Aliefendioğlu D, ve ark. Göğüs Ağrısı ile Başvuran Çocuklarda Nedenlerin Değerlendirilmesi. Turkiye Klinikleri J Pediatr 2006;15:46-51.

There are 52 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	Review
Authors	Osman Güvenç 0000-0001-6590-6055
Publication Date	March 31, 2019
Acceptance Date	March 6, 2018
Published in Issue	Year 2019 Volume: 28 Issue: 1

Cite

AMA	Güvenç O. Göğüs Ağrısı olan Çocuğa Yaklaşım. aktd. March 2019;28(1):1-10.

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