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Review
. 2013 Sep;163(3):896-901.e1-3.
doi: 10.1016/j.jpeds.2013.05.001. Epub 2013 Jun 12.

Chest pain and syncope in children: a practical approach to the diagnosis of cardiac disease

Kevin G Friedman  1 , Mark E Alexander
Affiliations
Review

Chest pain and syncope in children: a practical approach to the diagnosis of cardiac disease

Kevin G Friedman et al. J Pediatr. 2013 Sep.
No abstract available

Keywords: ECG; ED; EST; Electrocardiography; Emergency department; Exercise stress testing; HCM; HTN; Hypertension; Hypertrophic cardiomyopathy; NCS; Neurocardiogenic syncope; SCAMP; Standardized Clinical Assessment and Management Plan.

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Figures

Figure 1
Figure 1
Annual cardiology clinic visits for chest pain and syncope at Boston Children’s Hospital.
Figure 2
Figure 2
Chest pain management algorithm.
Figure 3
Figure 3
Syncope management algorithm. POTS, postural orthostatic tachycardia syndrome; WPW, Wolff-Parkinson-White.
See this image and copyright information in PMC

References

    1. Driscoll DJ, Glicklich LB, Gallen WJ. Chest pain in children: a prospective study. Pediatrics. 1976;57:648–51. - PubMed
    1. Danduran MJ, Earing MG, Sheridan DC, Ewalt LA, Frommelt PC. Chest pain: characteristics of children/adolescents. Pediatr Cardiol. 2008;29:775–81. - PubMed
    1. Friedman KG, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R, et al. Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics. 2011;128:239–45. - PMC - PubMed
    1. Verghese GR, Friedman KG, Rathod RH, Meiri A, Saleeb SF, Graham DA, et al. Resource utilization reduction for evaluation of chest pain in pediatrics using a novel Standardized Clinical Assessment and Management Plan (SCAMP) J Am Heart Assoc. 2012;1 - PMC - PubMed
    1. DiVasta AD, Alexander ME. Fainting freshmen and sinking sophomores: cardiovascular issues of the adolescent. Curr Opin Pediatr. 2004;16:350–6. - PubMed