Syncope in Children. Objectives. Understand the term syncope Differentiate the serious causes of syncope from those that are benign Know the appropriate testing needed in the evaluation of syncope based upon the presenting history. Definitions to Know.
Syncope = syn(short) + kope (to cut)
Transient ischemic attacks
Vertebrobasilar transient ischemic attacks
UnexplainedCauses = Approximately 1/3
Questions about circumstances just prior to attack
Questions about onset of the attack
Questions about attack (eye witness)
Questions about the end of the attack
Questions about background
Syncope due to orthostatic hypotension
Probability of Survival
0 5 10 15
Follow-Up (yr)“…cardiac syncope can be a harbinger of sudden death.”
Soteriades ES, et al. N Engl J Med. 2002;347:878.