**2. Anamnesis**

The anamnesis in Paediatric myocardial infarction (PMI) and Paediatric myocardial ischaemia and physical examination findings show differences from adult cases. The anamnesis of infants and young children is taken from the family and carers [2]. The complaints usually reported in this period are generalised findings such as feeding problems, lack of appetite, irritability, diarrhoea, vomiting, cold extremities, pallor and tachypnea. Older children may be able to describe chest pain well and can explain the spread of pain. A compressive of chest pain spreading to the left arm and shoulder should suggest chest pain with cardiac origin [10, 11]. However, some children may not be able to describe the character of the chest pain.

In the physical examination, patients are generally anxious, pale and interactive. They may have dyspnea or tachypnea. If tachycardia, hypotension or cardiogenic shock develop, these can be determined [2]. In the cardiac examination, rhythm irregularity and gallop rhythm can be determined. Extremities may be cold and the pulse may be weak on the electrocardiography (ECG), ventricular arrhythmia or cardiac block may be determined [2, 12–14]. Patients with ventricular arrhythmias may have symptoms of palpitations, syncope and loss of conscious [12].
