Two US doctors say they have treated as many as nine cases of heart attacks in children, though only over a decade. Still it is important that physicians don’t ignore such symptoms in children, they have stressed in a report in the October issue of the medical journal Pediatrics.
Drs. John Lane and Giora Ben-Shachar of Ohio said that none of the cases they treated had anything to do with the known risk factors like obesity, family history, high blood pressure, unhealthy cholesterol levels and drug abuse.
The cause of their heart attacks was most likely a heart spasm that briefly cut off blood supply, Lane said. It is also a rare cause of heart attacks in adults.
All but one of Lane's patients were boys. Doctors are uncertain whether girls face a lower risk because there's little in medical literature about this type of heart attack.
Lane called it "an under-appreciated phenomenon."
Chest pain is a common symptom in children, but 95 percent of the time, it's not heart-related and it is rarely life-threatening, said Dr. Reginald Washington, a Denver children's heart specialist.
Muscle strains and stress are among common causes of kids' chest pain. Most heart-related chest pain in kids is caused by infections, structural abnormalities or problems other than heart attacks, Washington said.
He said the Akron doctors' report "does a good job of telling physicians" they shouldn't dismiss heart attack as a possibility in children.