What causes chest pain during physical activity in a child?
I recommend you to perform some tests to examine mediastinal structures
Thank you for asking on HCM! I understand your concern.
I would like to explain that the first thing to determine is the nature of the pain, if it is modulated from the movements. If the pain changes during body movements the probability to be related to any heart disorder is very low.
I recommend you to consult with the GP, to determine the nature of the pain and for a careful physical examination. An ECG, a cardiac ultrasound and a chest Xray are necessary to exclude a possible lesion of the mediastinal structures (such as the heart, the aorta, airways). Routine blood test for inflammation is also needed.
Regarding the episode of loss of conscience, it doesn't seem to be related to the heart. But I would recommend you to perform the above mentioned tests, to be sure of this.
Hope to have been helpful!
Feel free to ask any other questions!
Greetings! Dr. Iliri
A comprehensive differential diagnosis is necessary.
As I explained you before, a comprehensive differential diagnosis is necessary to identify the right cause of pain.
The whole thoracic structures should be investigated as the possible source of pain (chest wall, inflamed pleura, costo-chondral joints, backbone disorders, intercostal neuralgia, pulmonary circulation disorders, any anomalous origin of coronary arteries, any congenital heart disorders, etc).
I recommend you to discuss with his doctor and perform the above mentioned tests, and if necessary a total imagine thoracic study (CT or MRI) would be helpful to identify the precise underlying cause.
Possible anemia and pulmonary dysfinction should be ruled out/in too (complete blood count, arterial blood gas analysis, pulmonary function test, etc).
Meanwhile, I strongly recommend to avoid him from participating in competitive sports until the differential is completed.
Best regards! Dr. Iliri
ECG is necessary, but not sufficient.
A normal ECG is adequate for excluding rhythm and conductance abnormalities, but would never be able to exclude any structural as well as ischemic implications.
All the above mentioned medical tests are needed to build the entire picture.
Best wishes! Dr. Iliri
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