{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:01:32Z","timestamp":1777878092037,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NASN School Nurse"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>This article, developed in collaboration with pediatric cardiologists and school nurses, reviews common student complaints that may have a cardiac etiology including palpitations, chest pain, and syncope. We discuss the initial steps that a school nurse should perform for each of these complaints, including relevant history taking and physical exam. We identify red flags which should raise suspicion for a cardiac etiology and outline the initial steps a school nurse should take in managing these students. We discuss which cases require assessment with a bedside automatic external defibrillator and emergent contact of emergency medical services (EMS), less-emergent cases requiring EMS contact and transfer to the emergency department, as well as those occasions where the assessment suggests it is appropriate for a parent to pursue less-urgent outpatient evaluation by a primary healthcare provider or pediatric cardiologist.<\/jats:p>","DOI":"10.1177\/1942602x251404526","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:26:21Z","timestamp":1768544781000},"page":"16-23","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Life-Threatening Diagnosis or Completely Benign? A School Nurse\u2019s Guide to Assessing and Caring for Students With Cardiac Complaints"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1984-2296","authenticated-orcid":false,"given":"Julia","family":"Lovin","sequence":"first","affiliation":[{"name":"Assistant Professor of Pediatrics, Pediatric Cardiology, University of Virginia, Charlottesville, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majd","family":"Makhoul","sequence":"additional","affiliation":[{"name":"Associate Professor of Pediatrics, Atrium Health Levine Children\u2019s Hospital, Charlotte, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashraf","family":"Harahsheh","sequence":"additional","affiliation":[{"name":"Professor of Pediatrics, Pediatric Cardiology, Children\u2019s National Hospital, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Altman","sequence":"additional","affiliation":[{"name":"Professor of Pediatrics and Associate Chief, Pediatric Cardiology, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwatosin","family":"Fatusin","sequence":"additional","affiliation":[{"name":"Assistant Professor of Pediatrics, Pediatric Cardiology, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Hoang","sequence":"additional","affiliation":[{"name":"Pediatric Nurse Practitioner, Pediatric Cardiology, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Corrigan","sequence":"additional","affiliation":[{"name":"School Nurse, Mamaroneck Union Free School District, Mamaroneck, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariella","family":"Kravitz","sequence":"additional","affiliation":[{"name":"School Nurse, Rosenbaum Yeshiva of North Jersey, River Edge, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Epstein","sequence":"additional","affiliation":[{"name":"Assistant Professor of Pediatrics, Pediatric Cardiology, Morgan Stanley Children\u2019s Hospital of, NewYork-Presbyterian, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2015.10.018"},{"key":"e_1_3_3_3_1","first-page":"389","volume-title":"School nursing: A comprehensive textbook","author":"Brzoza V. 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