The diagnostic protocol in children and adolescents with syncope: a multi‐centre prospective study

Abstract

The use of a simplified diagnostic protocol for children and adolescents with syncope improves diagnostic yield.

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

“…Although V VS is the most common cause of pediatric syncope, cardiac syncope does represent 1.5% to 6% of pediatric cases (usually defined as up to 18 years of age). 617,619,620,629,631,632 Characteristics of presenting signs and symptoms differentiating V VS from cardiac causes of syncope are generally similar to those in adults. A family history of V VS and early SCD should be sought.…”

“…641,642 Treatment should emphasize symptom awareness and avoidance of precipitating factors that might worsen the condition, such as dehydration, standing for prolonged periods of time, hot crowded environments, and diuretic intake. 624,629,643,644,647,648,651,652 and the specificity ranges from 83% to 100%. 624,643,652 Pediatric patients with episodes of V VS may exhibit convulsive movements during loss of consciousness that mimic epileptic seizures.…”

Midregional Pro-Adrenomedullin as a Predictor for Therapeutic Response to Midodrine Hydrochloride in Children With Postural Orthostatic Tachycardia Syndrome

“…Children with POTS often have symptoms of orthostatic intolerance, such as syncope, dizziness, chest distress, chest pain, headache, palpitation, fatigue, and so on, and have a much higher incidence of syncope compared with adults (8,9). Additionally, the recurrent symptoms usually create physical and psychological stresses in children's daily lives, at home and at school.…”

Regional Implementation of a Pediatric Cardiology Syncope Algorithm Using Standardized Clinical Assessment and Management Plans (SCAMPS) Methodology

“…A multicenter experience in China included a relatively large number with cardiac syncope 28. With a tiered protocol that included frequent head‐up tilt testing, typical syncope was identified in 73% of patients.…”