Chest Pain in Children
Chest pain is one of the most frequent reasons families visit a pediatric cardiologist. The reassuring reality: most chest pain in children is not related to the heart. But it deserves a careful look.
What Causes Chest Pain in Children?
Common causes include musculoskeletal strain (costochondritis), respiratory issues, gastrointestinal problems (acid reflux), and anxiety. Cardiac causes — such as arrhythmias or structural heart disease — are uncommon but important to rule out.
When Could It Be Cardiac?
Warning signs that increase the likelihood of a cardiac cause include chest pain that occurs during exercise, pain accompanied by palpitations or fainting, a personal or family history of heart disease, or pain that is sharp, central, and radiating.
What Does the Evaluation Involve?
We start with a full history and physical exam. Depending on the picture, we may order an EKG, echocardiogram, or Holter monitor. Our goal is to efficiently distinguish cardiac from non-cardiac causes so your family can move forward with confidence.
What to Expect at Your Visit
Most children can complete their evaluation in a single visit. We take time to understand the pattern of pain, review your child's activity level, and discuss results before you leave. Families consistently tell us that having a clear explanation makes all the difference.
Is Chest Pain in Children Serious?
In the absence of red-flag features, chest pain in children is rarely caused by the heart. Our role is to identify the small number of cases where it is, and to provide every family with clear answers — not unnecessary worry.
When to Seek Urgent Care
Seek immediate medical attention if your child experiences:
- Chest pain that starts or worsens during exercise
- Pain accompanied by fainting or near-fainting
- Chest pain with rapid or irregular heartbeat
- Sudden severe chest pain that does not resolve
- Difficulty breathing alongside chest pain
- Blue or gray color to the lips or fingernails
Our Approach
- Take a thorough history including timing, triggers, and associated symptoms
- Perform a focused physical examination
- Order targeted testing (EKG, echocardiogram) based on clinical findings
- Distinguish cardiac from non-cardiac causes clearly
- Provide practical guidance, reassurance, and a follow-up plan
Frequently Asked Questions
Have concerns about your child's heart?
We're here to help.