کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2031911 1071635 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Syncope in children and adolescents living in north-eastern Poland – scope of causes
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی بیوشیمی، ژنتیک و زیست شناسی مولکولی (عمومی)
پیش نمایش صفحه اول مقاله
Syncope in children and adolescents living in north-eastern Poland – scope of causes
چکیده انگلیسی

ABSTRACTPurposeTo investigate the diagnostic yield of different tests and asses the scope of causes in children referring to the hospital with a syncope in north-eastern Poland.MethodsA review of 386 consecutive patients (age 2–18 years) living in north-eastern Poland presenting to the cardiology department with a new onset syncope (which appeared to be neurally mediated by history) was undertaken. The patients underwent physical examination, laboratory tests, electrocardiography, 24-holter monitoring, head-up tilt-test, exercise test, echocardiography and electroencephalography. All the tests were performed in most of the patients, without ending the diagnostics after finding the first probable cause of loss of consciousness.Results229 potential causes of syncope were found in 191 patients (49.4%), with 2 possible causes in 32 patients and 3 potential causes in 3 patients. The top 3 tests with the highest diagnostic yield were: head-up tilt test (41.4%), 24-holter monitoring (14.5%) and echocardiography (8.4%). Electroencephalography was useful in 3 patients (1.5%) and exercise test did not help in any patient.ConclusionIn some children more than one potential cause of syncope was diagnosed. That might confirm multiple factors’ causality of syncope. Head-up tilt-test has the highest diagnostic yield in children with syncope. If the diagnostic protocol is not very strict, one might find some crucial conditions in about 8.3% of patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Advances in Medical Sciences - Volume 58, Issue 2, December 2013, Pages 326–330
نویسندگان
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