Çocukluk çağındaki göğüs ağrılarının etyolojik nedenlere göre değerlendirilmesi
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Date
2014
Authors
Doğan, Fatma Oflu
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Göğüs ağrısı çocukluk ve genç erişkin döneminde oldukça sık görülen bir yakınmadır. Erişkinlerdeki göğüs ağrısının kardiyovasküler hastalıklarla ve ani ölümle ilişkisi bilindiğinden çocuklardaki ağrıya aileler ve sağlık personeli en üst düzeyde önem vermektedir. Uludağ Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları genel çocuk polikliniğine 01.06.2012-31.12.2012 tarihleri arasında 6-17 yaş arası göğüs ağrısı ile başvuran olgular retrospektif olarak incelemeye alındı. Bilinen bir kalp hastalığı olup, birlikte göğüs ağrısı olan hastalar çalışmaya dahil edilmedi. Göğüs ağrısı yakınması ile başvuran olguların %24,6’sında organik veya psikojenik neden tespit edilmeyerek idiopatik kaynaklı kabul edilmiştir. Göğüs ağrısına neden olan organik etkenler araştırıldığında ilk sırayı %24,6 oranı ile gastrointestinal kökenli göğüs ağrısının aldığı bunu %22,8 ile kasiskelet kökenli ve %1,8 ile kardiyak ve solunum sistemi kökenli ağrıların izlediği görülmüştür. Psikojenik kökenli ağrılar ise %24,6 oranda tespit edilmiştir. Ağrının devam süresi, lokalizasyonu, sıklık derecesi ve göğüs ağrısı ortaya çıkışı ile başvuru arasında geçen süre ile ilişkisi bakımından istatistiksel olarak anlamlı bir fark saptanmamıştır. Ailede kalp hastalığı olan bir kişinin bulunması durumunda göğüs ağrısı ile başvuran olgunun semptomları kendine adapte ettiği düşünülmektedir. Laboratuvar araştırmaları, anamnez ve klinik muayene ile konulan tanıları doğrulamak ve lezyonların ağırlığını saptamak açısından yararlı bulunmuştur. Olgularımıza genel olarak baktığımızda 6 aydan uzun süren tekrarlayıcı göğüs ağrısı bulunan olgularda ağrının psikojenik veya idiopatik olduğu düşünülmüştür. Özellikle bu gruptaki hasta ve ailelerinin önemli bir kalp hastalığı bulunmadığı konusunda ikna edilmeleri ile pek çok olguda göğüs ağrısının geçtiği gözlenmiştir.
Chest pain is a quite common complaint in childhood and young adulthood. Relationship between chest pain in adults with cardiovascular disease and sudden death is known chest pain in children, families and health care professionals provide the highest level of importance. Between 01.06.2012-31.12.2012, patients presenting with chest pain aged 6-17 to Uludag University Faculty of Medicine, Children's Health and Disease in the general pediatric outpatient clinic were examined retrospectively. Patients with known heart disease were excluded from the study In all, 24.6% of patients presenting with chest pain were not found to have any organic and psychogenic causes to explain their chest pain. These patients were considered to have idiopathic chest pain. The most common organic causes of chest pain were gastrointetinal system diseases (24.6%). The second most common organic causes of chest pain were musculoskeletal disorders (22.8%), and the third one were cardiogenic and respiratory disorders. 24.6% of patients were found to have a psychological disorder. No significant statistical difference was detected to relations with the duration, localization, frequency, degree of pain and the time between begining of chest pain and time to consult a doctor. The patient presenting with chest pain if had have a family member with heart disease was thought to self-adapt the symptoms. Laboratory research, medical history and clinical examination to confirm the diagnosis and to determine the severity of the lesions were found useful. It was thought that recurrent and lasting longer than 6 months chest pains were caused psychogenic or idiopathic disorders. It was observed that If patients and their families,especially in this group, is convinced that there was not a heart disease, the chest pain will end.
Chest pain is a quite common complaint in childhood and young adulthood. Relationship between chest pain in adults with cardiovascular disease and sudden death is known chest pain in children, families and health care professionals provide the highest level of importance. Between 01.06.2012-31.12.2012, patients presenting with chest pain aged 6-17 to Uludag University Faculty of Medicine, Children's Health and Disease in the general pediatric outpatient clinic were examined retrospectively. Patients with known heart disease were excluded from the study In all, 24.6% of patients presenting with chest pain were not found to have any organic and psychogenic causes to explain their chest pain. These patients were considered to have idiopathic chest pain. The most common organic causes of chest pain were gastrointetinal system diseases (24.6%). The second most common organic causes of chest pain were musculoskeletal disorders (22.8%), and the third one were cardiogenic and respiratory disorders. 24.6% of patients were found to have a psychological disorder. No significant statistical difference was detected to relations with the duration, localization, frequency, degree of pain and the time between begining of chest pain and time to consult a doctor. The patient presenting with chest pain if had have a family member with heart disease was thought to self-adapt the symptoms. Laboratory research, medical history and clinical examination to confirm the diagnosis and to determine the severity of the lesions were found useful. It was thought that recurrent and lasting longer than 6 months chest pains were caused psychogenic or idiopathic disorders. It was observed that If patients and their families,especially in this group, is convinced that there was not a heart disease, the chest pain will end.
Description
Keywords
Göğüs ağrısı, Çocuk, Adolesan, Kardiyak kökenli, Psikojenik, Chest pain, Child, Adolescent, Cardiac origin, Psychogenic
Citation
Doğan, F. O. (2014). Çocukluk çağındaki göğüs ağrılarının etyolojik nedenlere göre değerlendirilmesi. Yayınlanmamış uzmanlık tezi. Uludağ Üniversitesi Tıp Fakültesi.