Category: Clinical Sciences/Health Conditions
99% of pediatric chest pain is non-cardiogenic. The most common cause of non-cardiogenic chest pain is musculoskeletal origin. Among the musculoskeletal causes, the causes of acute chest pain are better known. However, the causes of chronic chest pain have not been investigated sufficiently in the literature. In this study, we aimed to evaluate the musculoskeletal causes of non-cardiogenic chest pain and to evaluate its relationship with abuse and central sensitization.
The patients aged 12-18 years who had chest pain for at least three months were evaluated by pediatric cardiologist. Patients without any organic pathology were referred to the physical medicine and rehabilitation clinic. Detailed history and physical examination were performed. In addition, patients were questioned for juvenile fibromyalgia (JFM) according to ACR 2016 revised diagnostic criteria. The chest pain intensity was measured with visual analog scale (VAS). Central Sensitization Inventory was used to evaluate the presence of central sensitization. Hospital Anxiety Depression Scale was used for detecting depression and anxiety. Childhood Travma Questionnaire was performed to evaluate presence of emotional, physical and sexual abuse.
This study showed that JMS is a previously unreported cause of pediatric non-cardiogenic chest pain. However, the presence of central sensitization or JFM in these patients may indicate childhood abuse.
Basak Mansiz-Kaplan– Physical Medicine and Rehabilitation Specialist, University of Health Science, Ankara Training and Research Hospital
Mihriban Cagli– Dr., University of Health Science, Ankara Training and Research Hospital
Fatih Atik– Pediatric Cardiology spesialist, University of Health Science, Ankara Training and Research Hospital
─░brahim Ece– Pediatric Cardiology specialist, University of Health Science, Ankara Training and Research Hospital
F. Figen Ayhan– Physical Medicine and Rehabilitation Specialist, U┼čak University, High School of Health Sciences