Syncope in Children and Adolescents

Research output: Contribution to journalArticle

Abstract

Syncope is an abrupt loss of consciousness and postural tone frequently due to disturbance of the normal autonomic nervous system reflexive mechanisms in regulating peripheral vascular resistance, blood pressure, and heart rate. This leads to a transient decrease in cerebral blood flow. It is a common presenting complaint in children and adolescents. In many cases, there is a characteristic preceding prodrome of dizziness, nausea, diaphoresis, and pallor. Although most cases of syncope are benign in etiology, it frequently causes stress and anxiety in regard to potential cardiovascular disease and possible sudden cardiac death. With careful screening by detailed patient history, comprehensive physical examination, and electrocardiogram (ECG), a significant majority of patients with serious underlying cardiac conditions will be identified. The routine use of echocardiography, ambulatory ECG, tilt-table tests, and exercise stress tests is expensive and frequently of low diagnostic yield. With benign forms of syncope, patient reassurance and education should be the first-line treatment.

Original languageEnglish (US)
Pages (from-to)e287-e291
JournalPediatric Annals
Volume44
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Syncope
Exercise Test
Vascular Resistance
Cerebrovascular Circulation
Electrocardiography
Tilt-Table Test
Pallor
Unconsciousness
Autonomic Nervous System
Sudden Cardiac Death
Dizziness
Patient Education
Nausea
Physical Examination
Echocardiography
Cardiovascular Diseases
Anxiety
Heart Rate
Blood Pressure
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Syncope in Children and Adolescents. / Yeh, Jay.

In: Pediatric Annals, Vol. 44, No. 12, 01.12.2015, p. e287-e291.

Research output: Contribution to journalArticle

Yeh, Jay. / Syncope in Children and Adolescents. In: Pediatric Annals. 2015 ; Vol. 44, No. 12. pp. e287-e291.
@article{5414c2e02aff477b940acedb835e5daf,
title = "Syncope in Children and Adolescents",
abstract = "Syncope is an abrupt loss of consciousness and postural tone frequently due to disturbance of the normal autonomic nervous system reflexive mechanisms in regulating peripheral vascular resistance, blood pressure, and heart rate. This leads to a transient decrease in cerebral blood flow. It is a common presenting complaint in children and adolescents. In many cases, there is a characteristic preceding prodrome of dizziness, nausea, diaphoresis, and pallor. Although most cases of syncope are benign in etiology, it frequently causes stress and anxiety in regard to potential cardiovascular disease and possible sudden cardiac death. With careful screening by detailed patient history, comprehensive physical examination, and electrocardiogram (ECG), a significant majority of patients with serious underlying cardiac conditions will be identified. The routine use of echocardiography, ambulatory ECG, tilt-table tests, and exercise stress tests is expensive and frequently of low diagnostic yield. With benign forms of syncope, patient reassurance and education should be the first-line treatment.",
author = "Jay Yeh",
year = "2015",
month = "12",
day = "1",
doi = "10.3928/00904481-20151113-01",
language = "English (US)",
volume = "44",
pages = "e287--e291",
journal = "Pediatric Annals",
issn = "0090-4481",
publisher = "Slack Incorporated",
number = "12",

}

TY - JOUR

T1 - Syncope in Children and Adolescents

AU - Yeh, Jay

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Syncope is an abrupt loss of consciousness and postural tone frequently due to disturbance of the normal autonomic nervous system reflexive mechanisms in regulating peripheral vascular resistance, blood pressure, and heart rate. This leads to a transient decrease in cerebral blood flow. It is a common presenting complaint in children and adolescents. In many cases, there is a characteristic preceding prodrome of dizziness, nausea, diaphoresis, and pallor. Although most cases of syncope are benign in etiology, it frequently causes stress and anxiety in regard to potential cardiovascular disease and possible sudden cardiac death. With careful screening by detailed patient history, comprehensive physical examination, and electrocardiogram (ECG), a significant majority of patients with serious underlying cardiac conditions will be identified. The routine use of echocardiography, ambulatory ECG, tilt-table tests, and exercise stress tests is expensive and frequently of low diagnostic yield. With benign forms of syncope, patient reassurance and education should be the first-line treatment.

AB - Syncope is an abrupt loss of consciousness and postural tone frequently due to disturbance of the normal autonomic nervous system reflexive mechanisms in regulating peripheral vascular resistance, blood pressure, and heart rate. This leads to a transient decrease in cerebral blood flow. It is a common presenting complaint in children and adolescents. In many cases, there is a characteristic preceding prodrome of dizziness, nausea, diaphoresis, and pallor. Although most cases of syncope are benign in etiology, it frequently causes stress and anxiety in regard to potential cardiovascular disease and possible sudden cardiac death. With careful screening by detailed patient history, comprehensive physical examination, and electrocardiogram (ECG), a significant majority of patients with serious underlying cardiac conditions will be identified. The routine use of echocardiography, ambulatory ECG, tilt-table tests, and exercise stress tests is expensive and frequently of low diagnostic yield. With benign forms of syncope, patient reassurance and education should be the first-line treatment.

UR - http://www.scopus.com/inward/record.url?scp=85020318202&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85020318202&partnerID=8YFLogxK

U2 - 10.3928/00904481-20151113-01

DO - 10.3928/00904481-20151113-01

M3 - Article

C2 - 26678237

AN - SCOPUS:85020318202

VL - 44

SP - e287-e291

JO - Pediatric Annals

JF - Pediatric Annals

SN - 0090-4481

IS - 12

ER -