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Investigation of the presence of atopy in children visiting the paediatric cardiology department due to chest pain

Published online by Cambridge University Press:  19 July 2023

Fatma Duksal Open the ORCID record for Fatma Duksal [Opens in a new window]  and
Melih Timuçin Doğan Open the ORCID record for Melih Timuçin Doğan [Opens in a new window]
Fatma Duksal*
Affiliation:
Konya City Hospital, Konya, Turkey
Melih Timuçin Doğan
Affiliation:
Konya City Hospital, Konya, Turkey
*
Corresponding author: F. Duksal; Email: fatmaduksal@gmail.com
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Abstract

Background:

The cases of chest pain in children are usually not of cardiac origin.

Objectives:

To investigate asthma and other atopic diseases in children with chest pain not of cardiac origin.

Patients and Methods:

Children aged 6–18 years who were seen for chest pain were included in the study. Haematologic parameters, pulmonary function tests, and skin prick tests were performed. Atopic diseases and environmental factors were investigated.

Results:

The non-cardiac chest pain group (Group 1) included 88 children (female: 53.4%) with a mean age of 11.9 ± 3.4 years; the control group (Group 2) included 29 children (female: 53.8%) with a mean age of 11.4±2 years (p > 0.05). A family history of atopy (22.7%) and skin prick test positivity (28.4%) was more common in Group 1 than Group 2 (p = 0.006 and p = 0.017, respectively). The rate of presence of all environmental factors except stove use and mould was significantly higher in Group 1 (54.5%) than Group 2 (3.4%) (p < 0.001). Asthma was diagnosed in 44.3% and allergic rhinitis in 9.1% of patients in Group 1. Idiopathic chest pain, musculoskeletal system disorders, gastroesophageal reflux, and pneumonia were identified in 23.9%, 11.4%, 8%, and 3.4% of patients in Group 1, respectively.

Conclusions:

In this study, the most common cause of non-cardiac chest pain was asthma. The local prevalence of asthma is higher than normal, and this may have affected the results of this study. A detailed history and physical examination will accurately establish the cause of chest pain in most children.

Keywords

Asthmaatopychest pain

Information

Type
Original Article
Information
Cardiology in the Young , Volume 34 , Issue 3 , March 2024 , pp. 489 - 496
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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