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Fifteen-minute consultation on excluding cardiac causes of chest pain
  1. Umar F Mahmood1,
  2. Gregory J Skinner2
  1. 1 Leicester Children's Hospital, Leicester, East Midlands, UK
  2. 2 East Midlands Congenital Heart Centre, Leicester Children's Hospital, Leicester, East Midlands, UK
  1. Correspondence to Dr Umar F Mahmood, Leicester Children's Hospital, Leicester, East Midlands, UK; umar.mahmood{at}


Chest pain can be an extremely worrying symptom for children and parents, but is typically benign and rarely cardiac in origin. It can become problematic for paediatricians in acute care balancing parental expectations and not missing sinister causes. In addition, ordering unnecessary tests can be expensive, can lead to a prolonged hospital stay and unnecessary referrals to clinics. The aim of this review is to give an overview of the common causes of chest pain in children and how to identify cardiac causes using case vignettes.

  • paediatrics
  • cardiology

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  • Contributors UFM researched the subject matter and wrote the article. GJS supervised and edited the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.