Evaluation and Management of Pediatric Chest Pain, Syncope, and Murmur in the Emergency Department

  • Shahnawaz M. Amdani
  • Robert D. RossEmail author


The three most common reasons for referral to the cardiologist’s office for new patients are chest pain, syncope, and a heart murmur. These same three complaints or findings are frequent reasons for children to be brought to an emergency room or urgent care facility. In this chapter, typical cases for each are presented followed by a guide to the workup and management of each. As most of these will be non-cardiac in origin, it is important to distinguish the common non-cardiac causes from the uncommon true cardiac etiologies and to know when to intervene or contact cardiology urgently for the latter. Algorithms for the evaluation and management for each are provided.


Chest pain Syncope Heart murmur 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Pediatric Cardiology, Children’s Hospital of Michigan, Carman and Ann Adams Department of PediatricsWayne State University School of MedicineDetroitUSA
  2. 2.Pediatrics, Division of CardiologyChildren’s Hospital of Michigan and Wayne State University School of MedicineDetroitUSA

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