TY - CHAP M1 - Book, Section TI - The Chest Wall A1 - Wells, Robert G. Y1 - 2015 N1 - T2 - Diagnostic Imaging of Infants and Children AB - A variety of cardiac, pulmonary, and esophageal lesions can result in chest pain. Pericarditis causes severe substernal chest pain that is exacerbated by movement or respiration. Patients sometimes report that the pain diminishes when assuming an upright position and leaning forward. Tachyarrhythmias can compromise myocardial blood flow and result in ischemic pain, often in association with lightheadedness, syncope, or palpitations. The pain associated with aortic dissection varies according to the site of the lesion. Dissection in the ascending aorta causes anterior chest pain. Dissection in the upper portion of the arch or descending aorta causes pain that radiates to the back. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1148942354 ER -