Pediatric Heart Expert Forum
chest pains
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

chest pains

My 16 year old son has plays soccer. He started having chest pains while running at practice and games. We took him to our family Dr. and no problems could be found. We next went to a pediatric cardiologist who did an EKG and a cardiogram and again no problems were found. Next we went to an asthma specialist no problems found. Everyone we have seen has told us that we have a healthy as a horse normal teenage son. I desperately need help to ease my and my wife's mind about letting him participate in sports. Thanks
773655_tn?1340656399
Chest pain with physical activity is a cause for concern, although the good news is that the majority of the time there is no cardiac problem found in young patients.  It is appropriate to see a cardiologist, as you have done, and make sure that the ECG and echocardiogram (ultrasound of the heart) show no abnormalities.  In particular you need to make sure that they looked at the origins and courses of the coronary arteries on the echocardiogram.  If those were normal, good.  If those were not seen, then either the echo needs to be repeated or some other type of imaging is done to document that the coronary arteries are not abnormal.  Finally, it may be necessary to do an exercise stress test and try to reproduce the chest pain.  Usually the cardiologist can tell by the history and type of pain whether it is likely to be cardiac chest pain (angina) vs. non-cardiac chest pain (usually musculoskeletal).  If you still have concerns you should voice them to your child's cardiologist.  Discuss whether a stress test is indicated given his symptoms.
2 Comments
Blank
Avatar_m_tn
Thanks so much for taking your time to give us some advice. My wife called our doctor back today and we are going to go back for another visit. We had a ultrasound done of his heart, they had him lie in different positions and said everything was normal but I will ask the questions that you mentioned. We have discussed it and we are going to ask for a stress test to be done. The crazy part that I have a hard time understanding is that he has had conditioning practice for 6 weeks and hasn't had a problem until Monday of this week. Again thank you for your time and advice it is greatly appreciated.
Blank
Continue discussion Blank
This Forum's Experts
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
5 hrs ago by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank