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Chest Pain in Children

Haytham Baho MD FAAP FACC CPHQ

Head, Section of Pediatric Cardiology

King Faisal Specilaist Hospital & research center

Risk Factors for Cardiac Disease

Cardiac

History of Congenital Heart disease or Cardiac Surgery

Radiating pain

Associated presyncope or syncope

H/O Kawasaki disease or COVID-19

Abnormal HR or BP

Drug use /abuse

Any Abnormalities or a possibility of a cardiac cause

DDx

ECG , CXR , Enzymes +/- Echo

Workup

Cardiology Consult

Pulmonary risk factors

Pulmonary

Recent surgery

Neoplasm

Hypercoagulability

Central line

Heamoptysis

Hypoxia

Any Pulmonary signs or symptoms ( chest wall tenderness )

DDx

Workup

Chest X ray

V/Q scan

CT scan

ECG

Trial of Ventolin

GI risk factors

GI

Related to eating

Abdominal tenderness

Phsychosomatic

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