Childhood Diseases

Question
Posted by: Sonja | 2011-05-25

Q.

Chest pain

Hi dr.

My daugther aged 13 y 7 m has been complaining of chest pains that comes and goes lasting a few seconds. During these "  pain attacks"  she has heart palpatations also lasting as long as the chest pain.
I took her to our GP who listened to her heart and after examination told us that she had an inflamation in her muscles and cartlidge. This diagnosed was made after pressing on the musscles between the ribs next to chest wall.

She was prescribed 15mg of cortisone with a anti-inflamatory. The pains is still persisting how ever, coming and going

I am concerned that it could be caused by MVP as she has the palpitations with the chest pain? Would the GP have been able to dedect this condition during examination?

Regards
Sonja

Expert's Reply

A.

Paediatrician

Your daughter's complaint is almost certainly a stress related condition called the 'Da Costa syndrome'. This has nothing to do with the heart but stress causes spasm of an artery on the inside of the chest wall called the internal mammary artery. Your daughter needs to be reassured that this pain is not due to a heart problem and you need to help to find out what is causes her to be stressed now and to help her to deal with this.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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