Illustrative CasesPrecordial Catch Syndrome in Elite Swimmers With AsthmaHayes, Don Jr MD, MS; Younger, Bradley R.; Mansour, Heidi M. PhD; Strawbridge, Heather MD Author Information From the *Department of Pediatrics, The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, OH; †University Studies Program, University of Kentucky, Lexington, KY; ‡Skaggs Center of Pharmaceutical Sciences, The University of Arizona-Tucson College of Pharmacy, Tucson, AZ; and §Department of Pediatrics, Northeast Ohio Medical University College of Medicine, Rootstown, and Akron Children's Hospital, Akron OH. Disclosure: The authors declare no conflict of interest. Reprints: Don Hayes, Jr, MD, MS, The Ohio State University, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 (e-mail: [email protected]). Pediatric Emergency Care: February 2016 - Volume 32 - Issue 2 - p 104-106 doi: 10.1097/PEC.0000000000000715 Buy Metrics Abstract Precordial catch syndrome is a benign cause of chest pain in children and adolescents that remains underrecognized. Because of distinctive symptoms, precordial catch syndrome is not necessarily a diagnosis of exclusion. However, a detailed history eliciting diagnostic features is important, along with a physical examination excluding other pathologic disorders. We present the cases of 2 elite swimmers with asthma who had acute episodes of precordial catch syndrome, one associated with an acute asthma exacerbation and one not, while swimming during competitive swim meets that required rescue efforts for both and eventual evaluation in the emergency department. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.