Evaluating the child with syncope.
Syncope is a multifactorial disorder; however, most pediatric syncopal episodes result from vasodepressor syndrome or the simple faint. A very detailed history and physical examination should indicate the etiology in the majority of cases. Extensive diagnostic studies are rarely necessary. Tilt table testing is a reliable way of identifying individuals predisposed to vasodepressor syncope, and may provide a means of assessing the efficacy of therapeutic interventions in those who require treatment. Treatment for syncope from etiologies other than vasodepressor syndrome is directed at the underlying cause.
Scott
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Department of Pediatrics, University of Texas, Southwestern Medical Center, Dallas 75235-9063.
D000293:Adolescent; D002648:Child; D006801:Humans; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy