RT Book, Section
A1 Wells, Robert G.
SR Print(0)
ID 1148942354
T1 The Chest Wall
T2 Diagnostic Imaging of Infants and Children
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071808392
LK accesspediatrics.mhmedical.com/content.aspx?aid=1148942354
RD 2024/04/23
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.