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Successful completion of treadmill testing provides relief and reassurance for children with non-specific chest pain

Published online by Cambridge University Press:  12 December 2022

Irem Turkyilmaz Open the ORCID record for Irem Turkyilmaz [Opens in a new window] ,
Burcin Ozlem Ates ,
Mehmet Ayhan Congologlu  and
Ayhan Kilic
Irem Turkyilmaz*
Affiliation:
SBU Gulhane Education and Research Hospital, Department of Pediatric Cardiology, Ankara, Turkey
Burcin Ozlem Ates
Affiliation:
SBU Gulhane Education and Research Hospital, Department of Child & Adolescent Psychiatry, Ankara, Turkey
Mehmet Ayhan Congologlu
Affiliation:
SBU Gulhane Education and Research Hospital, Department of Child & Adolescent Psychiatry, Ankara, Turkey
Ayhan Kilic
Affiliation:
SBU Gulhane Education and Research Hospital, Department of Pediatric Cardiology, Ankara, Turkey
*
Author for correspondence: Irem Turkyilmaz, Gulhane Education and Research Hospital, Department of Pediatric Cardiology, 06010 Ankara, Turkey. Tel: +90 312 304 6756. E-mail: iremtyilmaz@gmail.com
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Abstract

Objective:

Non-specific chest pain is one of the leading causes of admissions in paediatric cardiology outpatient clinics, and its management usually consists of extensive reassurance of patients and their families. As we have often observed that successful completion of treadmill testing during diagnostic work-up provides relief and reassurance in these patients and their families, we planned this study to quantitatively assess anxiety levels and perception of illness among children with non-specific chest pain before and after treadmill testing.

Method:

We studied 50 children (aged 11.8 ± 3.0 years, range 7–17 years; 24 females, 26 males) with a chief complaint of non-specific chest pain and negative history and echocardiography. They were asked to fill the Revised Children’s Anxiety and Depression Scale before the treadmill testing and 1–10 days after successful completion of treadmill testing.

Results:

Average total anxiety scores (36.38 ± 19.09 versus 33.36 ± 19.09, respectively) and average of total anxiety + depression scores (44.3 ± 24.92 versus 40.8 ± 26.97, respectively) of the children were found to be significantly lower after negative treadmill testing as compared to scores before testing (p < 0.05). Alterations in separation anxiety, panic, social phobia, obsession-compulsion scores were not statistically significant (p > 0.05).

Conclusion:

Children with non-specific chest pain feel relieved and reassured after successful completion of treadmill testing. To the best of our knowledge, our study is the first in the literature to show this relationship quantitatively.

Keywords

Treadmill testanxietychest painchildren
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 10 , October 2023 , pp. 2012 - 2015
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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