Syncope and Sudden Cardiac Death in the Pediatric Athlete

Syncope and sudden cardiac death can occur in young athletes. Although commonly due to a noncardiac cause, syncope can be the harbinger of a more serious cardiac issue, especially if occurring around physical activity. Proper evaluation including a focused personal and family history followed by a physical examination and appropriate testing is warranted in all pediatric cases of syncope. Knowledge regarding common cardiac causes associated with sudden cardiac death is very important to both primary care and emergency care providers. Knowledge regarding preparticipation cardiac screening tools (including the electrocardiogram debate) and reasons for or against sports participation due to cardiac conditions are also necessary in caring for pediatric athletes.