Volume : VIII, Issue : III, March - 2019

THE ASSOCIATION BETWEEN PEDIATRIC CHEST PAIN AND LACTATE

Prof. Sabiha Sahin

Abstract :

Introduction: Chest pain is a common reason for Pediatric Emergency Department visits, account for 0.3–0.6%. However, most chest pain in children is associated with benign or self–limited illness, such as costochondritis, muscle strain or lung infections. In this study, we aimed to assess the association between pediatric chest pain and lactate. Methods: Children ageing from 6 to 17 years, taken to the Pediatric Emergency Department with the complaint of chest pain were included in the study. Demographics, complaints, symptoms, electrocardiogram (ECG), echocardiogram (ECHO) and laboratory test results including arterial blood gas, lactate, creatine kinase muscle and ain (CK–MB), troponin and final diagnosis were recorded. Results: Totally 100 patients were included. Of them, 54 were girl and 46 were boy. The mean age was 11.86±3.51 year (range 6 to 17). The final diagnosis was myalgia in 32 patients, reflux in 12 patients, panic attack in 13 patients, myocarditis–cardiac disorder in 16 patients, asthma in 12 patients and pneumonia in 15 patients. 2 patients died because of cardiac arrest. The mean lactate levels were significantly higher in patients with fever, cardiac disorder, abnormal ECG and ECHO and increased blood gas. Also, positive correlations were determined between lactate and CK–MB and lactate and troponin; lactate increased as CK–MB and troponin increased. Conclusion: The most common cause of chest pain is idiopathic in children. A careful history and physical examination can reveal important clues and save many unnecessary examinations. Patients who have normal lactate, history, and ECG could be considered to be at low risk for AMI and referred for the appropriate tests sooner than with a standard 24–hour rule–out procedure, but patients who have higher lactate, presenting with chest pain should be followed carefully .

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

THE ASSOCIATION BETWEEN PEDIATRIC CHEST PAIN AND LACTATE, Prof. Sabiha SAHIN PARIPEX - INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-3 | March-2019

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