Chest Pain Clinical Pathway — Emergency Department
Recent COVID-19 mRNA Vaccination
If a child presents with chest pain soon after the COVID vaccine (typically within a week), obtain:
- EKG
- Troponin
- If abnormal, consult cardiology and discuss need for admission
Recent COVID-19 Illness or Concerning Exposure
These children may be at increased risk for arrhythmia, myocarditis, pericarditis, or MIS-C.
- Obtain EKG, troponin, and consult cardiology
- Additional Resources: