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.