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

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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

1 Star2 Stars3 Stars4 Stars5 Stars (24 votes, average: 2.85 out of 5)
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