| Author/Editor | Kanič, Zlatka | |
| Title | Ehokardiografija u diferencijalnoj dijagnostici bolova u prsnom košu djeteta | |
| Type | monografija | |
| Place | Zagreb | |
| Publisher | Sveučilište u Zagrebu, Medicinski fakultet | |
| Publication year | 2002 | |
| Volume | str. 112 | |
| Language | cro | |
| Abstract | Pain is an unpleasant syndrome which indicates sickness in the body. The incidence of chest pain is third after headache and stomach ache. 0,4 to 12% of children ask for hospital and out hospital help because of chest pain. The phenomenon is firstly associated with child's heart. In the prospective study of hundred randomly chosen children, history and clinical features of chest pain were taken, added the findings of examination then the reason of the chest pain was looked for. The goal of the research was to determinelidentify the meaning of echocardiography and its necessity. The reason for chest pain was analyzed on the basis of detailed present and past history, clinical features and laboratory tests. The most frequent reasons for chest pain were: psychogenic (55%), musculoskeletal (37%), cardiac (6%) and acute respiratory diseases (2%). The predictors of cardiac chest pain were defined according to the frequency of their occurrence, with non-parametric experiment Kullback (valid as an experiment in statistics, which replaces Hi quadrant experiment in cases of low theoretical frequency and the continuance of zeros) according to present history, clinical data, ECG recording and ultrasound parameters. As statistically important predictors of cardiac chest pain were found pain at exertion, male gender and additional symptoms. Influential tendency shows also a recent blunt chest trauma. Clinically important predictor is also arrhythmic heart activity. Among the applied methods of examining, statistically important are: pathological ECG and echocardiography. In ultrasound examination of heart, statistically important predictors of cardiac reasons of chest pain are the following parameters: the thickness of the wall between ventricles, the size of the left ventricle, the pericardial fluid and bigger mass of left ventricle. (Abstract truncated at 2000 characters). | |
| Descriptors | CHEST PAIN ECHOCARDIOGRAPHY CHILD MEDICAL HISTORY TAKING ELECTROCARDIOGRAPHY ANGINA PECTORIS DIAGNOSIS, DIFFERENTIAL PROSPECTIVE STUDIES |