Abstract:
:The evaluation of syncopal children or adolescents relies heavily on a thorough, detailed history and physical examination. All syncope associated with exercise or exertion must be considered dangerous. The ECG is mandatory, but other laboratory tests are generally of limited value unless guided by pertinent positives or negatives in the history and physical examination. The ECG allows screening for dysrhythmias, such as Wolff-Parkinson-White syndrome, heart block, and long QT syndrome, as well as hypertrophic cardiomyopathies and myocarditis. Tilt table testing can be useful in selecting therapy by demonstrating the physiologic response leading to syncope in an individual patient. The most common type of syncope in otherwise healthy children and adolescents is neurocardiogenic or vasodepressor syncope, which is a benign and transient condition. Because syncope can be a predictor of sudden cardiac death, it must be taken seriously, and appropriate screening must be performed.
journal_name
Pediatr Clin North Amjournal_title
Pediatric clinics of North Americaauthors
Lewis DA,Dhala Adoi
10.1016/s0031-3955(05)70113-9subject
Has Abstractpub_date
1999-04-01 00:00:00pages
205-19issue
2eissn
0031-3955issn
1557-8240pii
S0031-3955(05)70113-9journal_volume
46pub_type
杂志文章,评审abstract::This article focuses on creating an orderly approach to history taking, examination, and ordering appropriate investigations when caring for a child with joint complaints. It classifies complaints as those with and without pain, swelling, or fever and of short or long duration. It recommends an approach to the physica...
journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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journal_title:Pediatric clinics of North America
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