However, the vast majority of children will not need further testing and will likely be found to have a normal heart.
The doctor might order other tests, such as an exercise stress test, echocardiogram, or chest X-ray, or might send your child home with a transtelephonic monitor or a Holter monitor to continuously record your child's heart rhythm as she goes about her normal activities. The doctor will read an electrocardiogram (ECG or EKG), a record of the electrical activity of your child’s heart, to determine whether a heart problem may be causing your child's symptoms. But because the esophagus and heart are located near each other, either one can cause chest pain (angina). The pediatric cardiologist will listen to your child’s heart and ask questions about the circumstances that led to the chest pain, your child’s medical history, and the family medical history. Nothing Despite its name, heartburn, or acid indigestion, is related to your esophagus. Your general pediatrician might refer you to a pediatric cardiologist, a doctor who specializes in heart problems in children. Our specialists are leading the way in the diagnosis, treatment and research of congenital and acquired heart conditions. If your child complains of chest pain, and also has a fever, is sweating or having trouble breathing, has a very rapid heart rate, is pale, or has severe pain like a ripping sensation, do not wait - get help immediately! Also, if there is a family history of “aortic dissection,” or tearing of the aorta, or of Marfan syndrome, an emergency evaluation is immediately needed. Dissection, or tearing, of the aorta, the main artery that directs blood from the heart out to the body.A blockage or other problems with the coronary arteries (the tiny vessels that carry oxygenated blood to the heart tissue).Arrhythmias: abnormal fast heart rhythms.Myocarditis: a viral infection of the heart.Pericarditis: an inflammation of the sac that surrounds the heart.Heart conditions that can cause chest pain in a child include:
Stress or anxiety may also bring on a feeling of chest pain. Some children will describe acid reflux (“heartburn”) as chest pain. Sometimes, a cold (upper respiratory infection) or persistent cough can cause soreness and pain in the chest area. Otherwise, treatment for the chest pain will be dependent upon the underlying cause of the pain. Typical chest wall pain is not treated with medications, although chest wall injuries and inflammation can respond to nonsteroidal anti-inflammatory medications, such as ibuprofen. Learn what symptoms could be signs of heart problems, and when to see a pediatrician or a pediatric cardiologist.
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