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Children's Chest Pain Rarely Cause for Alarm: Study
Date:10/10/2011

l pain that can tie them in knots when they breathe that goes away by adulthood," said Boris. "This could result from muscle strain, pulmonary problems or gastroesophageal reflux, but the least likely reason is the heart."

While cardiac screenings are relatively inexpensive compared to inpatient procedures, the large number of children with chest pain showing up at clinics, doctors offices and hospital ERs adds up money-wise, which is why overutilization is a germane issue, Boris said.

"As a cardiologist, the data is troubling," Boris said. "The high costs of unnecessary testing and use of resources may significantly impact other areas of crucial cardiac care."

Future research should focus on quality-improvement initiatives to allay anxieties, reduce unnecessary referrals and validate current practice management strategies for evaluating chest pain, the study concluded.

More information

To find out more about chest pain, see the U.S. National Institutes of Health.

SOURCES: Dr. Susan F. Saleeb, cardiologist, Children's Hospital Boston, Mass; Dr. Jeffrey Boris, cardiologist and associate professor of pediatrics, University of Pennsylvania School of Medicine, Philadelphia; American Heart Association; November 2011, Pediatrics


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