Chest pain is a common symptom. It may start over the left side or center of the chest and spread to the neck and left shoulder. It is usually a sharp, stabbing pain that may be worse with deep breathing or lying down.
Other problems may be:
- Shortness of breath
- Fever and chills
- Pain when swallowing
- Weakness and lack of energy
- Lack of hunger
The doctor will ask about your child’s symptoms and health history. A physical exam will be done. It will focus on the heart. The doctor will listen for a grating or rubbing sound in your child’s heart. There may also be a crackle sound in your child’s lungs.
Blood tests will be done to look for signs of inflammation.
Images of the chest may be taken. This can be done with:
- Chest x-ray
- MRI scan
- CT scan
Your child's heart activity may be tested. This can be done with an electrocardiogram (EKG).
Any underlying causes like infection will need to be treated. Other symptoms will be managed medicines, such as:
- Anti-inflammatory medicine
- Pain relievers
Children who are not helped by these methods may need surgery. Choices are:
- Pericardiocentesis to remove fluid around the heart using a needle
- Pericardiectomy to remove the sac around the heart (rare)
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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American Heart Association http://www.heart.org
National Heart, Lung and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
Canadian Family Physician http://www.cfp.ca
Acute and recurrent pericarditis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/acute-and-recurrent-pericarditis. Accessed March 9, 2021.
Pediatric pericarditis. Cincinnati Children's website. Available at: http://www.cincinnatichildrens.org/health/info/heart/diagnose/peri.htm. Accessed March 9, 2021.
Pericarditis. Seattle Children's Hospital website. Available at https://www.seattlechildrens.org/conditions/pericarditis. Accessed March 9, 2021.
Yusuf SW, Hassan SA, et al. Pericardial disease: a clinical review. Expert Rev Cardiovasc Ther. 2016;14(4):525-539.