Syncope in Children

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Apichai Khongphatthanayothin, MD, MPPM


Syncope is a relatively common condition in children and adolescents. Most children with syncope do not have serious diseases and their prognosis is generally benign. However, in certain patients, syncope may be the first presentation of a serious cardiac pathology. Therefore, the understanding of its pathophysiology, causes and investigative work ups are important for general pediatricians dealing with this entity.


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Khongphatthanayothin A. Syncope in Children. BKK Med J [Internet]. 2012 Sep. 20 [cited 2023 Dec. 11];4(1):104. Available from:
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1. Martin K, Bates G, Whitehouse WP. Transient loss of consciousness and syncope in children and young people: what you need to know. Arch Dis Child Edu Pract Ed 2010;95:66-72.
2. Driscoll DJ, Jacobsen SJ, Porter CJ, et al. Syncope in children and adolescents. J Am Coll Cardiol 1997;29: 1039-45.
3. Evans WN, Acherman R, Kip K, et al. Hair-grooming syncope in children. Clin Pediatr 2009;48:834-6
4. Chen L, Zhang Q, Ingrid S, et al. Aetiologic and clinical characteristics of syncope in Chinese children. Acta Paediatr 2007;96:1505-10.
5. Kanter R. Syncope and sudden death. In: SR N, editor The science and practice of pediatric cardiology. Balt- more: William & Wilkins, 1998:2169-99.
6. Steinberg LA, Knilans TK. Syncope in children: diag nostic tests have a high cost and low yield. J Pediatr 2005;146:355-8.
7. Levine MM. Neurally mediated syncope in children: results of tilt testing, treatment, and long-term follow-up. Pediatr Cardiol 1999;20:331-5.
8. Foglia-Manzillo G, Giada F, Fteita N, et al. Tilt testing potentiated with sublingual nitroglycerin in children with unexplained syncope. Eur Heart J 2007;28: 2605-9.
9. Alehan D, Lenk M, Ozme S, et al. Comparison of sensitivity and specificity of tilt protocols with and with- out isoproterenol in children with unexplained syn- cope. Pacing Clin Electrophysiology : PACE 1997;20: 1769-76.
10. Salim MA, Di Sessa TG. Effectiveness of fludrocortisone and salt in preventing syncope recurrence in children: a double-blind, placebo-controlled, randomized trial. J Am Coll Cardiol 2005;45:484-8.
11. Zhang Q, Jin H, Wang L, et al. Randomized comparison of metoprolol versus conventional treatment in prevent- ing recurrence of vasovagal syncope in children and adolescents. Med Sci Monit 2008;14:199-203.