Torun, Emel Bezmialem Vakıf University - Medical Faculty - Department of Pediatrics, Turkey , Sarıtaş, Türkay Bezmialem Vakif University - Medical Faculty - Department of Pediatric Cardiology, Türkiye , Kahraman, Feyza Ustabaş Bezmialem Vakif University - Medical Faculty - Department of Pediatrics, Türkiye , Osmanoğlu, Nurcan Keskin Bezmialem Vakif University - Medical Faculty - Department of Pediatrics, Türkiye , Öktem, Faruk Bezmialem Vakif University - Medical Faculty - Department of Pediatric Nephrology, Turkey

The relationship between idiopathic chest pain, Vitamin D deficiency and insufficiency in school children and adolescents

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Objective: The aim of this study is to determine an association between vitamin D status and idiopathic chest pain in school children and adolescents. Methods: Included in the study were a control group of 60 healthy children for comparison with 120 school children and adolescents referred to our pediatric cardiology department, after being diagnosed with idiopathic chest pain. A patient’s examination included taking a history and doing a physical examination, chest radiograph, electrocardiogram, echocardiogram complete blood count, and 25-hydroxyvitamin D and troponin I levels. Results: Age, gender distribution, and body mass index were not statistically different between the control and study groups (p=0.7, p=0.2 and p=0.3, respectively). Histories of the patients with idiopathic chest pain revealed 22% with heart disease and 6% with recent death in the family. Chest pain was present for 1 month in 19.2%, and for 1 month in 79.2% of the patients. Location of the patients’ chest pain was in the left precordium (64%), right precordium (32%) and midsternal area (18%). Frequency and duration of the pain were variable. Serum vitamin D levels were significantly lower in the study group than in the controls (p 0.0001), but except for alkaline phosphatase, other biochemical parameters did not differ to a statistically significantly degree. The duration of symptoms and episodes increased as vitamin D levels decreased (r= 0.621, p=0.002 and r=0.213, p=0.02, respectively). Conclusion: In pediatric patients, there is a significant association between vitamin D deficiency/ insufficiency and the duration and frequency of idiopathic chest pain in pediatric patients.

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Idiopathic chest pain , vitamin D deficiency , child

Dicle Medical Journal

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