Fyfe D A, Moodie D S
Clin Pediatr (Phila). 1984 Jun;23(6):321-4. doi: 10.1177/000992288402300603.
Records of 67 pediatric patients with a primary complaint of chest pain were reviewed to determine the frequency of associated cardiac disease. Only four of 67 (6%) had chest pain associated with cardiac diseases that usually cause chest pain. Fifty-seven (85%) patients had chest pain in which no clear cause could be determined. Of these 57, 20 patients also had isolated congenital cardiac anomalies, i.e., atrial septal defect. A causal relationship of these lesions to the chest pain could not be established. Thirty-four of the 37 patients with chest pain and no cardiac abnormalities were evaluated by telephone at a mean of 13 months after their clinic assessment. Twenty-nine of the 34 were either asymptomatic or had reduced symptoms. There was no correlation between duration of symptoms prior to their clinical study and the persistence of chest pain at follow-up. From this study, we conclude that chest pain in pediatric patients is infrequently due to cardiac disease even when associated with previously unsuspected, isolated congenital cardiac lesions. Idiopathic chest pain tends to be self-limited.
对67例以胸痛为主诉的儿科患者的记录进行了回顾，以确定相关心脏病的发生率。67例患者中只有4例（6%）的胸痛与通常引起胸痛的心脏病有关。57例（85%）患者的胸痛原因不明。在这57例患者中，有20例还患有孤立性先天性心脏异常，即房间隔缺损。这些病变与胸痛之间的因果关系无法确定。37例胸痛且无心脏异常的患者中有34例在门诊评估后平均13个月通过电话进行了随访。34例患者中有29例无症状或症状减轻。临床研究前症状持续时间与随访时胸痛持续情况之间无相关性。从这项研究中，我们得出结论，儿科患者的胸痛很少由心脏病引起，即使与之前未被怀疑的孤立性先天性心脏病变有关。特发性胸痛往往是自限性的。
