Assessment and diagnosis of cardiac syncope in children / 中华实用儿科临床杂志

ABSTRACT

Cardiac syncope is due to cardiac disorders or rhythm disorders as the main cause of syncope,etiolo-gy is accounted for the second in the cause of syncope in children. Compared with other causes of syncope,cardiac syn-cope is the risk for sudden death with high mortality and the prognosis is relatively poor. A preliminary assessment was made through medical history,physical examination and routine electrocardiogram exam. Routine electrocardiogram is the most basic examination for these patients. Long term electrocardiogram,color Doppler ultrasound and electrophysio-logic examination are recommended for the patients with cardiac syncope. In clinical work,the doctor should further im-prove the understanding of syncope in order to early identify cardiac syncope and comprehensive assess the risk of it, then effort to identify the cause of the cardiac syncope. Early diagnosis and standardized management will improve the quality of life and reduce the risk of sudden death in children with cardiac syncope.