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Investigation of Cardiac Causes of Chest Pain In Children Referring to Amir al-Mo’menin Hospital, Semnan: A Cross-Sectional Study
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Soodeh Hooshmandi *    , Sahar Lavaf , Sjjad Rahimi |
| Department of Pediatrics, Faculty of Medicine, Semnan University of Medical Science, Semnan, Iran , s.Hooshmandi12@gmail.com |
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Abstract: (4 Views) |
Background and Objective: Chest pain in children is typically benign and non-cardiac in origin; however, identifying cardiac etiologies is crucial due to their potential clinical significance and the impact on family anxiety and healthcare utilization. This study aimed to determine the cardiac causes of chest pain among children and adolescents presenting to a referral center in Semnan, Iran.
Materials and Methods: This descriptive cross-sectional study included 100 children and adolescents aged 2–18 years who presented with chest pain between September 2021 and September 2022 at the outpatient clinic of Amir-al-Momenin Hospital in Semnan. Demographic data, family history of cardiac disease, and echocardiographic findings were collected prospectively and analyzed using SPSS version 26.
Results: Of the 100 participants, 47% were female and 53% male, with a mean age of 8.66 ± 0.37 years and a mean BMI of 18.40 ± 0.60 kg/m². Approximately 73% of the patients had normal echocardiographic findings. The most common pathological finding was mitral valve prolapse (MVP), observed in 13% of cases. Only 12% of the children had a positive family history of cardiac disease. No significant association was found between echocardiographic abnormalities and sex (P = 0.301), whereas a significant association was observed between abnormal echocardiographic findings and a positive family history (P = 0.041).
Conclusion: The findings indicate a low prevalence of cardiac abnormalities among children presenting with chest pain. Comprehensive clinical assessment can help prevent unnecessary diagnostic testing and reduce the financial and psychological burden on families and the healthcare system.
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| Keywords: chest pain, pediatrics, echocardiography, cardiac disorders, prevalence |
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Type of Study: Research |
Subject:
medicine, paraclinic
Received: 2025/09/25 | Revised: 2025/12/9 | Accepted: 2025/12/9
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