Document Type : Original Article
Authors
- Nabiolah Asadpour 1
- Mohammad Reza Malekahmadi 1
- Soleiman Kheiri 2
- Mohammad Esmaeili 1
- Alireza Sharifi 3
- Fatemeh Khaledi 4
- Mahsa Jamshidian 5
1 School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 School of Basic Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 4. Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
4 School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran Students Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran
5 5. Students Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract
BACKGROUND: Chest pain is one of the common complaints of children referred to treatment centers. The present study aimed to investigate the electrocardiography changes in children aged 15-5 years with chest pain referred to Hajar and Imam Ali Hospitals of Shahrekord.
METHODS: In this descriptive-analytic study, 350 children chest pain who referred to Hajar and Imam Ali Hospitals were studied. After examination, children underwent electrocardiography. Echocardiography were performed in the case of Electrocardiography changes and CPK-MB and troponin 1 tests were performed, if required. Data were analyzed by SPSS-22 software.
RESULTS: The age of children was in the range of 5-15 years old with a mean of 10.6 ± 2.7 years. Abnormal electrocardiography findings were observed in 28 (8%) of 350 children under electrocardiography. left axis deviation was 2.6%, ST elevation 2.9%, ST depression 0.3%, PR less than normal 0.9%, delta wave changes 0.06% and heart hypertrophy 0.9%. Echocardiography was done for 70(23.33%) of cases. 28 (40%) had normal and 42 (60%) had abnormal finding. Mild changes were observed in 39 (55.7%), moderate in 2 (2.9%) and Pulmonary Arterial Pressure high in 1 case (1.4%). Thirty girls (8.5%) and 12 boys (3.4%) had tachycardia and one boy (0.2%) had bradycardia. Troponin I was tested for two boys, both negative.
CONCLUSION: Considering the importance of heart disease, electrocardiography is recommended in all children with chest pain, Electrocardiography can also be helpful in screening for heart disease in cases of chest pain.
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