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14: Syncope
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Published:May 2023
Francisco Alvarez, MD, FAAP, Neha Shirish Joshi, MD, FAAP, "Syncope", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Syncope is the sudden, but brief, loss of consciousness and postural tone, which is then followed by a spontaneous recovery to baseline. It is relatively common in the pediatric setting, especially among female adolescents.
While syncope in children and adolescents is most often due to a benign etiology, careful attention is required to exclude potentially life-threatening causes, especially cardiac disease. However, the diagnostic yield of broad laboratory and imaging in pediatric syncope is relatively low, so use a thorough history and physical examination to guide testing.
Obtain a detailed history of the syncopal event, including preceding events. A history of...
