Objectives:  To evaluate   causes of  chest pain in children  referred  to  pediatric   cardiology clinic and the need for echocardiography in these patient.
METHODS: A prospective study conducted in Prince Ali Hospital, in the southern of Jordan, between   Nov. 2010 till   Nov. 2012.  Clinical   history   and     physical    examination   done. Electrocardiogram,  chest X-ray, and  echocardiogram  for   all patients, and a  24-hour Holter monitoring, if needed.
RESULTS: A total of 145 children were referred to pediatric cardiology clinic. Musculoskeletal causes were the most common accounting for (36.6%), idiopathic chest pain (31%), respiratory causes (15%), gastrointestinal causes (4.1%) and  miscellaneous  disorders (6.9%), while cardiac causes  found in 9 patients (6.2%), echocardiography  was positive in 4 patients (2.8%).
CONCLUSIONS: The study reveals that cardiac etiologies for childhood chest pain account for a small   percentage, and   these can be   excluded  by a complete    history and     physical examination.   Therefore,   echocardiogram    may  not be necessary, and shouldn't be  part of routine evaluation of children with chest pain.