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Pediatric Syncope: High-Risk Conditions and Reasonable Approach.

Abstract Syncope is a common presentation to the emergency room. Unlike in the adult population, most pediatric syncope has non-life-threatening causes, and minimal evaluation in the emergency department is appropriate with parental reassurance. Despite this benign prognosis, care must be made to find uncommon and potentially fatal causes. The primary purpose of evaluation of the patient with syncope is to determine whether the patient is at increased risk for death and needs either admission to the hospital or an expedited outpatient evaluation. This article reviews some of the most dangerous causes of syncope in the pediatric patient.
PMID
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Authors

Mayor MeshTerms

Pediatric Emergency Medicine

Keywords

Arrhythmogenic right ventricular cardiomyopathy

Breath holding spells

Brugada syndrome

Long QT

Pediatric

Seizures

Short QT

Syncope

Journal Title emergency medicine clinics of north america
Publication Year Start




PMID- 29622324
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1558-0539 (Electronic)
IS  - 0733-8627 (Linking)
VI  - 36
IP  - 2
DP  - 2018 May
TI  - Pediatric Syncope: High-Risk Conditions and Reasonable Approach.
PG  - 305-321
LID - S0733-8627(17)30140-2 [pii]
LID - 10.1016/j.emc.2017.12.005 [doi]
AB  - Syncope is a common presentation to the emergency room. Unlike in the adult
      population, most pediatric syncope has non-life-threatening causes, and minimal
      evaluation in the emergency department is appropriate with parental reassurance. 
      Despite this benign prognosis, care must be made to find uncommon and potentially
      fatal causes. The primary purpose of evaluation of the patient with syncope is to
      determine whether the patient is at increased risk for death and needs either
      admission to the hospital or an expedited outpatient evaluation. This article
      reviews some of the most dangerous causes of syncope in the pediatric patient.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Schunk, Paul C
AU  - Schunk PC
AD  - Department of Pediatric Emergency Medicine, Dell Children's Medical Center, 4900 
      Mueller Boulevard, Austin, TX 78723, USA. Electronic address:
      [email protected]
FAU - Ruttan, Tim
AU  - Ruttan T
AD  - Department of Pediatric Emergency Medicine, Dell Children's Medical Center, 4900 
      Mueller Boulevard, Austin, TX 78723, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180210
PL  - United States
TA  - Emerg Med Clin North Am
JT  - Emergency medicine clinics of North America
JID - 8219565
SB  - IM
MH  - Child
MH  - Diagnosis, Differential
MH  - Electrocardiography
MH  - Humans
MH  - *Pediatric Emergency Medicine
MH  - Physical Examination/methods
MH  - Syncope/*diagnosis/etiology
OTO - NOTNLM
OT  - Arrhythmogenic right ventricular cardiomyopathy
OT  - Breath holding spells
OT  - Brugada syndrome
OT  - Long QT
OT  - Pediatric
OT  - Seizures
OT  - Short QT
OT  - Syncope
EDAT- 2018/04/07 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/07 06:00
PHST- 2018/04/07 06:00 [entrez]
PHST- 2018/04/07 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - S0733-8627(17)30140-2 [pii]
AID - 10.1016/j.emc.2017.12.005 [doi]
PST - ppublish
SO  - Emerg Med Clin North Am. 2018 May;36(2):305-321. doi: 10.1016/j.emc.2017.12.005. 
      Epub 2018 Feb 10.