Spaziani Gaia, Pollini Iva, Fabi Marianna, De Luca Francesco, Rimini Alessandro, Vignati Gabriele, Lombardi Maristella, Favilli Silvia
S.O.C. Cardiologia Pediatrica e della Transizione, A.O.U Meyer, Firenze.
Dipartimento di Pediatria, Policlinico Sant'Orsola-Malpighi, Bologna.
G Ital Cardiol (Rome). 2022 Mar;23(3):173-180. doi: 10.1714/3751.37336.
Chest pain presenting during childhood is a common cause of admission to the emergency departments or to pediatric outpatient consultations. In most cases chest pain is idiopathic or secondary to musculoskeletal disorders, whereas a cardiac origin is confirmed in a minority (0.5-1%). The peak of incidence can be registered between 10-14 years, mainly involving males. Early identification of chest pain requiring further investigation allows a prompt diagnosis, limiting unnecessary exams and prolonged hospitalization.
儿童期出现的胸痛是急诊或儿科门诊就诊的常见原因。在大多数情况下，胸痛是特发性的或继发于肌肉骨骼疾病，而少数情况下（0.5%-1%）可确诊为心脏源性。发病率高峰出现在10至14岁之间，主要累及男性。早期识别需要进一步检查的胸痛有助于及时诊断，减少不必要的检查和延长住院时间。
