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Syncope: etiology, management, & when to refer - Chronic Fatigue Syndrome related research

  [ 24 votes ]   [ Discuss This Article ]
www.ProHealth.com • October 4, 1999


An abnormality of blood pressure control is by far the most likely
cause of syncope in children; however, syncope in children may
be due to primary cardiac dysrhythmias, particularly in the
presence of structural heart disease. An appropriate work-up
should include an ECG with a 60-second rhythm strip at first
presentation. Tilt testing can usually wait until after a
second occurrence on non-pharmacologic therapy. Patients who
require more than a history and ECG by the algorithm in the
Figure should probably be referred to a cardiologist familiar
with the evaluation of syncope. The common form of neurally
mediated syncope is also probably related to both
breath-holding spells in toddlers, and to many of the cases of
chronic fatigue syndrome.


Saul JP




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