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Pain pressure thresholds in children and adolescents with idiopathic chest pain

Part of: Basic Science

Published online by Cambridge University Press:  11 May 2021

Selin Balta Open the ORCID record for Selin Balta [Opens in a new window]  and
Derya Arslan Open the ORCID record for Derya Arslan [Opens in a new window]
Selin Balta*
Affiliation:
Department of Algology (Pain Medicine), University of Health Sciences Turkey, Konya Training and Research Hospital, Konya, Turkey
Derya Arslan
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences Turkey, Konya Training and Research Hospital, Konya, Turkey
*
Author for correspondence: Selin Balta, Department of Algology (Pain Clinic), University of Health Sciences Turkey, Konya Training and Research Hospital, Hacışaban Mh, Yeni Meram Cd. No:97, 42090, Konya, Turkey. Tel: +90 532-500-23-33. E-mail: selinaa01@yahoo.com
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Abstract

Objectives:

The pathophysiology of idiopathic chest pain remains unclear. Studies evaluating pain pressure thresholds in other idiopathic pain syndromes have revealed pain sensitivity in both affected and unaffected areas. The present study aimed to evaluate thoracic and extrathoracic pain pressure thresholds and their correlation with patients’ pain characteristics and quality of life.

Methods:

This cross-sectional, single-blind, controlled study included children and adolescents with idiopathic chest pain. The patients’ pain characteristics, including their symptom duration, type of pain, mean pain intensity, mean duration of painful periods, pain frequency, and Pediatric Quality of Life Inventory Child Version scores, were assessed by a paediatric cardiologist via a face-to-face interview. Pain pressure thresholds were measured using an algometer by an algologist who was blinded to the study groups.

Results:

There was a statistically significant difference in pain pressure thresholds in the trapezius; supraspinatus; thoracic 2, 4, and 10 areas; deltoid; and tibia between the patient and healthy control groups. In the patient group, while there was a positive correlation between the mean all-region pain pressure thresholds and age (p = 0.047, r = 0.235), there was no correlation between pain pressure thresholds and symptom duration, pain intensity, and quality of life.

Conclusion:

The present study is the first step towards investigating probable pain sensitivity mechanisms in children and adolescents with idiopathic chest pain. We noted lower thoracic and extrathoracic pain pressure thresholds in children and adolescents with idiopathic chest pain than in healthy controls.

Keywords

Idiopathic chest painpain pressure thresholdspain sensitivityquality of life
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 2 , February 2022 , pp. 252 - 256
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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