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Aim: The aim of this study was to evaluate the etiology of chest pains and demographic data of these patients, and to investigate the effect of the COVID-19 pandemic on these variables. Material and Methods: The study included patients who presented with complaints of chest pain at the Paediatric Cardiology Clinic between November 2019 and August 2020. The patients were separated into two groups from the date of when restrictions to daily life were implemented because of the COVID-19 pandemic in Turkey, as Group 1 who presented before March 2020, and Group 2 who presented after March 2020. Results: Evaluation was made of a total of 251 patients comprising 136 (54.2%) females and 115 (45.8%) males with a mean age of 11.6 ± 2.9 years. The chest pain was felt most often in the precordial area (46.2%) as a needle pricking (64.9%). The cause of the chest pain was determined to be the musculoskeletal system (55%), psychogenic (16.3%) and idiopathic (13.5%) respectively. A cardiac reason was determined in 2.8% of the patients. In the comparisons of the two groups, psychogenic reasons were seen more in Group 2 after the pandemic, and more patients had been referred by a physician and from rural areas (p lt;0.05). Conclusion: To prevent repeated polyclinic presentations with non-cardiac chest pain, and unnecessary and lengthy tests, the concerns of families must be eliminated. After the beginning of the COVID-19 pandemic, there was determined to be an increase in children with chest pains of psychogenic cause.

Introduction: The present study aimed to determine the prevalence and distribution of congenital heart disease in patients who presented to the paediatric cardiology outpatient clinic in Turkey. Methods: File records of the children who underwent transthoracic echocardiography within the 3-year period between January 2013 and December 2015 at the paediatric cardiology outpatient clinic were retrospectively evaluated. Congenital heart diseases were grouped as follows: diseases with a left-to-right shunt, obstructive diseases, cyanotic diseases, cardiac malposition, vascular ring and unclassified diseases. Prevalence of the diseases, distribution among gender and age groups were investigated. Results: This study included 12,342 subjects; 6996 (56.7%) subjects were male and 5346 (43.3%) subjects were female. The subjects were aged between 1 day and 18 years, and the mean age was 6.86 ± 5.39 years; 27.7% of the subjects were determined to have congenital heart disease. The prevalence of congenital heart disease was higher in males and in the 0–1 month age group. Of the subjects with congenital heart disease, 87% had a disease with a left-to-right shunt, 21.2% had an unclassified disease, 7% had obstructive disease, 1.6% had cyanotic disease, 0.8% had a vascular ring and 0.7% had cardiac malposition. Conclusion: We recommend performing echocardiography on patients presenting to a paediatric cardiology outpatient clinic. Conducting echocardiographic examination on new-borns who are referred to the paediatric cardiology department within the first month of life would enable detecting, particularly the diseases with a left-to-right shunt and cyanotic congenital heart diseases, and ensure timely treatment planning.

Objective: Choosing the right vessel in pediatric catheterization is an important factor affecting the success of the procedure. In this study, we aimed to compare two different approaches used for catheterization in terms of procedural success and complications. Material and Method: Neonatal and infant patients who underwent left heart catheterization under elective conditions in our department between January 2017 and July 2022 were included in the study. These patients underwent balloon aortic valvuloplasty, balloon coarctation angioplasty, ductal stenting, diagnostic imaging in aortic arch pathologies and modified Blalock-Taussig shunt procedures. The patients were divided into two groups: femoral puncture (FP, group 1) and carotid cut-down (CC, group 2). Results: A total of 107 catheterizations were performed in 99 patients including 53 (49.53%) femoral and 54 (50.47%) carotid catheterizations. Of these, 25 (23.36%) were diagnostic and 82 (76.64%) were interventional catheterization procedures. Patients in the carotid cut-down group had lower body weight, procedure time, vascular access time, and anesthesia time (respectively 3.54 and 3.10 kg, p =0.024; 112.25 and 85.87 min, p <0.001; 20 and 14.01 min, p <0.001; 159 and 145.64 min, p =0.025). The complication rate in patients who underwent femoral puncture was 13.21%. Of these, 4 (7.54%) had circulatory disorders in the lower extremities, 2 (3.77%) stent migration to the pulmonary artery, and 1 (1.88%) stent stenosis. Wound infection was detected in 3 patients (5.55%) in the carotid-cut-down group. Conclusion: The carotid-cut-down approach can be preferred as the primary vascular access route for left heart catheterization in patients with low body weight or requiring urgent intervention. [ABSTRACT FROM AUTHOR]

Objective: It was aimed to analyze the etiological, laboratory and electrocardiographic aspects of pediatric patients who applied to our outpatient clinic with the complaint of syncope, and to determine the correct approach to these patients. Material and Method: Epidemiological, etiological and laboratory data of patients who applied with the complaint of syncope between August 2020 and July 2021 were analyzed retrospectively. Electrocardiographic data of the patients were compared with the healthy control group. Results: Fifty patients and 41 healthy control group were included in the study. It was observed that 22 (44.00%) of the patients presented with the first syncope, in 35 (70.00%) the syncope duration was less than 2 minutes and the median number of syncope was 2 (1-20). Prolonged standing was the most common trigger for syncope. The most common accompanying finding was pallor. Etiologically, vasovagal syncope (64.15%), orthostatic hypotension (15.09%) and psychogenic causes (15.09%) were found most commonly. Long QT syndrome was diagnosed in one patient and epilepsy was diagnosed in two patients. There was no significant difference between the patient and control groups in terms of PR, PRd, QT, QTd, QTc, QTcd, TPe, TPe/QTc, Pax, Taks, QRSax, QRS-T angle measurements. Conclusion: In patients with syncope, the diagnosis can be made to a great extent with a well-received anamnesis, physical examination and electrocardiographic examination. The contribution of other examinations to the diagnosis is low. Parameters that are predictive of malignant arrhythmias, especially repolarization anomalies, on electrocardiographic do not differ from healthy patients. [ABSTRACT FROM AUTHOR]

Aim: Congenital heart disease is the most common congenital anomaly in newborns. The aim of this study is to evaluate the congenital heart disease in newborns referred to the pediatric cardiology outpatient clinics. Material and Method: A total of 607 patients admitted to the Pediatric Cardiology Outpatient Clinics between March 2017 and June 2018 during the first 30 days of life were evaluated retrospectively. Electrocardiogram was performed on all newborns. The cardiovascular system examination, electrocardiogram evaluation and echocardiography were performed to all newborns. Results: 271 (44.6%) of the patients were female. The mean age and weight was 12.25±8.93 days (0-30 days) and 3.57 ± 0.64 kg (1.85-6.0), respectively. The most frequent presenting cause was murmur. 19 of the patients have congenital anomaly. The most frequently detected anomaly was Down syndrome. Echocardiographic evaluation showed no abnormal findings in 168 (27.7%) of the patients. The most common congenital heart disease was atrial septal defect and secondly ventricular septal defect. Conclusion: Echocardiographic examination was normal in most of the patients. The most frequent presenting cause was murmur. Echocardiographic examination should be performed on patients suspected of having congenital heart disease because the patients may have any different findings and symptoms during neonatal period. Early cardiologic evaluation is very important in the early diagnosis and treatment of congenital heart diseases. [ABSTRACT FROM AUTHOR]

Objective: Chest pain (CP) is a common complaint in children and adolescents. In most cases, it is a cause for anxiety in the patient and the family even though there is no organic cause. The aim of our study was to evaluate the epidemiological, clinical features and etiologic reasons of CP in children. Material and Methods: Patients who presented to the pediatric cardiology outpatient clinic between January 2015 and March 2017 due to CP were included. Epidemiological factors such as age, sex and admission period and the clinical characteristics such as duration of pain, pattern, spread, accompanying symptoms, physical examination and laboratory findings were retrospectively analyzed. Results: The mean age of the 570 patients with CP complaint was 11.6 ± 3.5 years. The smallest number of cases were in the age group smaller than 7 years (n: 48, 8%) and the largest in the age group of 7-12 years (n: 270, 47%) (p=0.01). There were more males than females but the difference was not significant (p=0.8). The most common causes of CP were idiopathic (n: 328, 58%) and musculoskeletal (n: 109, 19%). Cardiac causes (n: 45, 8%) were more common than in the literature and the two most frequent causes were MVP (n: 20, 44%) and rheumatic carditis (n: 7, 15%). Conclusion: Cardiogenic CP is seen at a rate of 0-4% as the etiologic factor in children. The frequency of the causes can vary according to the center of the study. In our study, cardiogenic CP was detected at twice the rate expected. The fact that the cases are referred after the preliminary evaluation at different units may be the reason. In the literature, rheumatic carditis is rarely reported among the causes of cardiogenic CP, but it was the second most common reason of cardiogenic CP in our study. Among cardiogenic causes, rheumatic carditis should be remembered, especially in developing countries. Patients should be questioned in more detail to determine the psychogenic causes that may cause CP. [ABSTRACT FROM AUTHOR]

Chest pain is one of the most frequent causes of admissions into pediatric intensive care unit. In this study determination of the etiologies of the patients referred to our outpatient clinic with chest pain, detection of underlying cardiac causes, and questioning requirement for further diagnostic tests in children referred to our clinic with chest pain were aimed. We prospectively evaluated 248 children with chest pain who had had been referred to pediatric cardiology clinic of our hospital between November 2015, and February 2015. Detailed history forms were filled for each patient. All patients were evaluated with physical examination, electrocardiography, echocardiography, measurements of cardiac enzymes in case of need 24-hour Holter monitorization of cardiac rhythm The mean age of patients was 12.7±3.9 years. In 235 cases (94.75%), non-cardiac, and in 13 patients (5.24%) cardiac pathologies were existent vb. Non-cardiac chest pain was detected in patients was related to idiopathic etiologies (n=158; 67.23%), costochondritis (n=49; 20.85%), overuse of muscles (n=5; 2.12%), gastroesophageal reflux disease (n=9; 3.82%), asthma (n=10 patients; 4.25%), conversion (n=3; 1.27%), and gynecomastia (n=1; 0.42%). In the group with cardiac pathologies mitral valve prolapse (n=4; 1.6%), myopericarditis (n=7; 2.8%) in 1 patient (0.4%), supraventricular tachycardia (n=1; 0.4%), and atrial septal defect (n=1; 0.4%) were detected. Referral of the patients with acute onset pain unrelated to exercise and negative family history without associated dizziness or syncope and abnormal findings on physical examination and ECG to the clinics of paediatric cardiology for further testing will only cause anxiety, and high cost both for the patients and their families. [ABSTRACT FROM AUTHOR]

Chest pain is a symptom with a high incidence among children, which is worrying for the patient and family. It is very frequently seen at the pediatric cardiology and general pediatric outpatient clinic as well as emergency service. It generally arises in children due to non-cardiac reasons; however, it may also be a serious heart disease in rare situations. The physician should differentiate the chest pain, determine whether there is a cardiac reason and reassure the patient and parents. This paper aims to review the approach to children presenting with chest pain symptom. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi is the property of Harran University Medical Faculty and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Pediatrics / Türkiye Klinikleri Pediatri Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Pediatrics / Türkiye Klinikleri Pediatri Dergisi is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Selcuk University Medical Journal is the property of Selcuk University Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Türkiye Klinikleri Cardiovascular Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Current Pediatrics / Guncel Pediatri is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Chest pain is a common complaint which is usually related to non-cardiac causes in children and adolescents. Musculoskeletal system, lungs, gastrointestinal system, heart, psychiatric causes may be the source of the pain. Long lasting, recurrent, sharp pain which is not related with exercise is usually benign and the cause of the pain can not be found in some patients. These are called as idiopathic chest pain. Despite the rarity of cardiac causes, exclusion of cardiac disease is important in the differential diagnosis since they can lead to mortality and morbidity. Cardiac chest pain must be considered in patients with exercise related, burning or squeezing pain over the sternum which can radiate towards the left arm or neck. Positive family history, accompanying symptoms such as syncope, palpitation, decreased exercise capacity, abnormal physical or electrocardiographic findings are indications for detailed cardiac investigation. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Current Pediatrics / Guncel Pediatri is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective Within the patients who were referred to our outpatient clinic, the number of those detected with a ventricular septal defect location and size of the defect, the complications it caused, the possibility of medical, surgical or spontaneous closure were examined and it has been compared with our pre-pandemic data whether there is a difference in the number of routine outpatient clinic examinations and the rate of diagnosis of ventricular septal defect under the conditions of the Covid-19 pandemic. Material and Method The results of transthoracic echocardiography made between the years 2018-2022 were evaluated which were performed due to hearing a cardiac murmur during routine examination of patients with symptoms such as chest pain, palpitations, fatigue, difficulty breathing, fainting, or any non-cardiac complaint. Results Ventricular septal defect was observed in 91 of 16362 patients (group 1) who underwent echocardiography between 2018 and 2020 before the pandemic, and in 202 of 14248 patients (group 2) who underwent echocardiography between 2020 and 2022, during the pandemic period. It is significant in that the patient rate is higher (p <0.001). Various complications may develop during the follow-up of ventricular septal defects. Considering the total number of complications, they were statistically significantly higher in the pre)pandemic period (p=0.003). However, when the developing complications were evaluated separately, a significant difference was detected only in terms of ventricular septal aneurysm development, with a higher rate in the pre-pandemic group (p=0.002). No significant difference was found in terms of other complications. Conclusion The similar number of patients has proven to us that there is no serious decrease in the number of pediatric cardiology outpatient clinic admissions, even under pandemic conditions. However, the higher frequency of diagnosis of ventricular septal defect during the pandemic period may be due to the fact that patients who actually require pediatric cardiology examination applied to the hospital during this period. [ABSTRACT FROM AUTHOR]

Copyright of Firat Tip Dergisi is the property of Firat University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Current Pediatrics / Guncel Pediatri is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A 4-year-old boy was diagnosed with bilateral cataracts and uveitis. Bilateral cataract surgery was planned with the right eye being operated on first. During the surgery on the right eye an intravenous steroid injection of 250 mg was applied and after the surgery an intracameral injection of triamcinolone acetonide (0.04 mg/0.1 ml) was applied. During the operation on the left eye the same dosage intravenous steroid injection was employed but an intracameral steroid injection was not used. The postoperative treatment protocol was the same for the two eyes. In the right eye, during the 12 months following, a fibrin reaction did not occur , but in the left eye a fibrin reaction occurred after the third postoperative day. This reaction persisted for two months and then the left eye was re-operated on and the fibrin was removed. In the right eye, during the follow up period, there was no increase in intraocular pressure and there were no inflammatory reactions either. It is known that after pediatric cataract surgery the inflammatory reaction is more severe than that after adult cataract surgery, and conversely the compliance of children to the treatment is low. Our patient had uveitis and a very high risk for an inflammatory reaction. In such patients, after cataract surgery, to prevent a postoperative inflammatory reaction, we can use an intracameral triamcinolone injection (0.04 mg/0.1 ml) confidently. [ABSTRACT FROM AUTHOR]

Copyright of SDU Journal of Health Science Institute / SDÜ Saglik Bilimleri Enstitüsü Dergisi is the property of Suleyman Demirel University, Health Sciences Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: We aimed to retrospectively evaluate the clinical, demographic, clinical and echocardiographic findings of children diagnosed with chest deformity in the pediatric cardiology clinic. Material and Method: This study enrolled children under the age of 18 years who were referred with chest deformity to our pediatric cardiology unit, over a period of six years (January 2017-December 2022). Results: The mean age of the patients was 9.9 ± 5.2 years, median 11 years (0-18 years old). 89 patients with abnormal echocardiographic findings: 42 (9.56%) mitral valve prolapse, 18 (4.1%) atrial septal defect, 9 (2%) ventricular septal defect, 8 (1.82%) bicuspid without aortic valve stenosis aortic valve, 5 (1.1%) patent ductus arteriosus, 2 (0.45%) pulmonary stenosis, 2 (0.45%) great artery transposition, 2 (0.45%) hypertrophic cardiomyopathy, subaortic ridge 1 (% 0.27). Cardiac compression was present in 13.4% of the cases with pectus excavatum. 13(%3) patients were operated by a thoracic surgeon. Marfan Syndrome was diagnosed in 7 patients and Noonan Syndrome was diagnosed in 2 patients who applied to our clinic with chest deformity. Conclusion: We suggest that echocardiographic examination in patients with chest deformity is important in the diagnosis of congenital heart diseases, early diagnosis and treatment of heart compression finding.

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Health Sciences of Kocaeli University / Kocaeli Üniversitesi Sağlık Bilimleri Dergisi is the property of Institute of Health Sciences of Kocaeli University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Namık Kemal Tıp Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Chest pain is a frequent symptom of pediatric cardiology outpatient clinics. A significant part of the patients' etiology can be elucidated with a good history and physical examination. The cause of life-threatening chest pain is less frequent. In this study, the causes of chestpain in children were investigated and attention was paid to pathologies that should be considered in differential diagnosis. Methods: A total of 134 patients who were admitted to the Pediatric Cardiology Clinic between 1 October 2017 and 1 December 2017 with complaints of chest pain were studied. The detailed anamnesis and detailed physical examination records of the patients were reviewed and evaluated for etiology. Results: The age of the patients was12.7 ± 3.2 years (5-18 years) and 78 patients (58.2%) were male. The average duration of chest pain was 5,5 months (1 day-to 4 years), and the duration of attacks ranged from 1 second to 3 hours. Idiopathic chest pain was considered in 29% of the patients. Other causes of chest pain were: musculoskeletal (26%), psychogenic (12.6%), digestive system pathologies (8.9%), asthma bronchiale (6.7%), upper respiratory tract infection (5.9%), mitral valve prolapse (3.7%), myocarditis (2.2%), familial mediterranean fever (1.4%), nephrolithiasis (0.7%), chesttrauma (0.7%), pericarditis (0.7%) and chest deformity (0.7%), respectively. Conclusion: Chest pain is more common in adolescence. When assessing chest pain, anamnesis and physical examination should be emphasized and further studies should be done in patients thought to be organic causes. Cardiac-induced chest pain is less frequent. The pediatric cardiologist should be consulted when cardiac pathology is suspected. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ümraniye Pediatri Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ümraniye Pediatri Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Chest pain is a common complaint in children. In this retrospective study we investigated the clinical and etiological characteristics and the recurrence rates of chest pain in a large cohort of patients. Material and Method: This study enrolled children under the age of 18 years who admitted to our pediatrics and pediatric cardiology departments with the chief complaint of chest pain. The medical files and laboratory data of patients with chest pain were retrospectively reviewed. Results: Among 503 patients with chest pain, 346 (68.7%) cases were referred to pediatric cardiology department because of a suspicious of a cardiac chest pain. Non-cardiac related chest pain accounted for 95.2% (478 patients) and cardiac related chest pain accounted for 4.8% (25 patients). A total of 23 (92%) patients in cardiac-related chest pain group and 212 (44.3%) patients in non-cardiac related group had recurrent chest pain. Recurrent chest pain was commonly detected in cardiac related chest pain, respiratory, gastrointestinal and psychological disorders. Discussion and Conclusion: In this study, the most common etiologies of chest pain in children were idiopathic chest pain and musculoskeletal disorders. Although, our results showed that chest pain is commonly recurrent and cardiac causes of chest pain are very rare in children. Unnecessary referrals should be reduced with a careful history and physical examination.

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Many children experience a catheterization process in pediatric cardiology units due to heart diseases. In this study, we evaluated 8-14 year old children/adolescent treated in Hacettepe University Ihsan Dogramaci Children Hospital Pediatric Cardiology Unit. We explained the steps of catheterization by different photographs before the cardiac catheterization procedure was performed, and it was planned to investigate the effect of this information on the anxiety levels of children and parents. For this purpose, a photographic booklet, showing the steps of procedure, has been prepared. The patients were categorized in two groups as case and control. Detailed information was given to the case group. The children/adolescents and their parents were assessed using state and trait anxiety inventory symptom observation list prepared by the investigators and a questionnaire about the information given to them. The results showed that there was no statistically significant difference between the case and control groups related to anxiety levels. However, there was a significant relationship between age and state anxiety scales in the case group. All of the results were discussed with the support of the literature, and it was concluded that it may be useful to provide detailed training on medical procedures with different educational tools according to the educational levels of children/adolescent and their families and learning skills. [ABSTRACT FROM AUTHOR]

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