Abstract
Fainting attack or syncope in children is a common occurrence, with vasovagal syncope being the commonest cause for majority of pediatric syncope. The aim of emergency room evaluation is not to miss the rare serious underlying disorder causing syncope. A complete detailed history of the event followed by physical examination helps in categorising syncope into the three major categories—neurally mediated, cardiovascular and non cardiovascular syncope. Investigations will remain normal in majority of the cases. A 12-lead ECG and standing test should be done in all the cases which helps in establishing the cause for syncope. Management varies depending upon the cause and majority of them do not require hospital admission.
Similar content being viewed by others
References
Singhi S, Singhi P. Syncope. In: Singhi S, Surpure J, editors. Synopsis of Pediatric emergency care. 2nd ed. India: Peepee; 2010. pp. 291–6.
Côté J-M. Syncope in children and adolescents: evaluation and treatment. Paediatr Child Health. 2001;6:549–51.
Zhang Q, Du J, Wang C, Du Z, Wang L, Tang C. The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study. Acta Pediatr. 2009;98:879–84.
Singhi P. Non epileptic events: differential diagnosis of epilepsy. In: Singhi P, editor. Seizures & epilepsy in children: a practical guide. 1st ed. India: Noble Vision; 2008. pp. 29–48.
Zhang Q, Du J, Jianjun C. Association of clinical characteristics of unexplained syncope with the outcome of head-up tilt tests in children. Pediatr Cardiol. 2004;25:360–4.
Stewart JM. Orthostatic intolerance in pediatrics. J Pediatr. 2002;140:404–11.
Benditt D, Fahy G, Lurie K, et al. Pharmacotherapy of neurocardiogenic syncope. Circulation. 1999;100:1242–8.
Conflict of Interest
None.
Role of Funding Source
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Naranje, K.M., Bansal, A. & Singhi, S.C. Fainting Attacks in Children. Indian J Pediatr 79, 362–366 (2012). https://doi.org/10.1007/s12098-011-0497-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-011-0497-7