Özet:

Breast pain is a frequent complaint in children. It usually does not show a heart problem but is considered to be a heart pain by the patient and his family. In this study, patients evaluated with breast pain complaints in the child's cardiology clinic for 18 months and discussed the causes of breast pain. The study included 441 patients, who applied to the child cardiology and general child clinic of the Selçuk University Medical Faculty with breast pain complaints between May 2011 and November 2012, scanning the files retrospectively. Patients’ anamnesis, family history, cardiovascular physical examinations, electrocardiography, ecocardiography, 24-hour rhythm holter monitoring and laboratory examinations were evaluated. The average age of patients in our study was 11 years (5-18 years), 217 of the patients (49.2%) were men, 224 (50.8%) were girls. All of the patients were taken, physical examinations, electrocardiographic and ecocardiographic assessments were carried out. Cardiovascular pathology was detected in 10 patients (2.3%). The causes of breast pain include: 378 patients (85.7 percent) with idiopathic breast pain, 22 patients (5.5 percent) with psychological causes, 20 patients (4.5 percent) with lung diseases, six patients (1.4 percent) with gastrointestinal system diseases, three patients (0.7 percent) with muscle and skeletal system diseases, one patient (0.2 percent) with family Mediterranean fever, one patient (0.2 percent) with pectus excavation, and breast pain is associated with these disorders. According to this study, the majority of breast pain in children is caused by non-heart causes. A distinctive diagnosis should be done carefully because a heart-caused breast pain can have vital consequences. It is also important to inform and relieve patients and their relatives who do not have a heart disease as a result of the story, physical examination and laboratory examinations.