One of the areas more commonly affected in precordial catch syndrome[1]
Specialty
Pediatrics, family medicine
Symptoms
Sharp, stabbing chest pain in a small area[1]
Usual onset
Sudden[1]
Duration
30 seconds to 3 minutes[1]
Causes
Unclear[1]
Differential diagnosis
Angina, pericarditis, pleurisy, chest trauma[1]
Treatment
Reassurance[1]
Prognosis
Good[1]
Frequency
Relatively common[1]
Precordial catch syndrome (PCS) is a non-serious condition in which there are sharp stabbing pains in the chest. These typically get worse with inhaling and occur within a small area. Spells of pain usually last less than a few minutes. Typically it begins at rest and other symptoms are absent. Concerns about the condition may result in anxiety.[1]
The underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve.[1][2] Risk factors include psychological stress.[2] The pain is not due to the heart. Diagnosis is based on the symptoms. Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest trauma.[1]
Treatment is usually via reassurance, as the pain generally resolves without any specific treatment. Precordial catch syndrome is relatively common, and children between the ages of 6 and 12 are most commonly affected. Males and females are affected equally.[1] It is less common in adults.[2] The condition has been described since at least 1893.[3]
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