In this section
The majority of children presenting with chest pain as a primary
complaint do not have a cardiac or other serious underlying
disorder. The priorities of assessment are to firstly exclude
these disorders or provide appropriate emergency treatment and to
subsequently form a diagnosis and management plan for the remainder
of cases. Common causes of paediatric chest pain in patients
without risk factors for serious disease include:
The presence of certain risk factors increases the probability
of potentially serious causes.
The most important step in initial assessment is identifying
signs of cardiorespiratory distress:
For further specific assessment of underlying cause see chest pain flowchart.
Key examination and basic investigation findings that may be
identified in uncommon serious conditions are presented in the