Crackles, wheezes, tachypnea, or Exercise-induced asthma may cause chest pain, which can be confirmed with a treadmill test. Spontaneous pneumothorax or pneumomediastinum may occasionally cause chest pain with respiratory distress. Children with asthma, cystic fibrosis, or Marfan syndrome are at high risk for Pulmonary embolism is extremely rare in pediatric patients, but it should be considered in the adolescent girl who has dyspnea, fever, pleuritic pain, cough, and hemoptysis. Oral contraceptives or recent abortion increase the risk. Young males who have had recent leg trauma also are at risk.
Psychogenic disturbances can precipitate chest pain.