Reflex syncope in children and adolescents W Wieling

Heart

Volumn 90, Issue 9, 2004, Pages 1094-1100

  Wieling, Wouter ^a   Ganzeboom, Karin S ^a   Saul, J Philip ^b  

^a UNIVERSITY OF AMSTERDAM   (Netherlands)

^b MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALPHA ADRENERGIC RECEPTOR STIMULATING AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; FLUDROCORTISONE; MIDODRINE; MINERALOCORTICOID; PSEUDOEPIDRINE; UNCLASSIFIED DRUG; VASOACTIVE AGENT;

ADOLESCENT; ANAMNESIS; BLOOD PRESSURE; BREATH HOLDING; CHILD; COMORBIDITY; CONSCIOUSNESS; DIFFERENTIAL DIAGNOSIS; DISEASE PREDISPOSITION; DIZZINESS; ELECTROCARDIOGRAM; ELECTROENCEPHALOGRAPHY; HEART DISEASE; HEART FUNCTION TEST; HEART PACING; HEART RATE; HUMAN; ORTHOSTATIC HYPOTENSION; PATIENT POSITIONING; PHYSICAL EXAMINATION; PRIORITY JOURNAL; REVIEW; SIDE EFFECT; SYMPTOMATOLOGY; SYNCOPE; TILT TABLE TEST; VASODILATATION;

ADOLESCENT; AUTONOMIC NERVOUS SYSTEM DISEASES; CARDIOVASCULAR AGENTS; CHILD; CHILD, PRESCHOOL; DIAGNOSIS, DIFFERENTIAL; DIET; HUMANS; HYPOTENSION, ORTHOSTATIC; INFANT; PHYSICAL EXAMINATION; REFLEX; RESPIRATION DISORDERS; SYNCOPE, VASOVAGAL; TACHYCARDIA;

EID: 4344561315     PISSN: 13556037     EISSN: None     Source Type: Journal    
DOI: 10.1136/hrt.2003.022996     Document Type: Review

References (20)

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2. Driscoll DJ, Jacobsen SJ, Porter CJ, et al. Syncope in children and adolescents. J Am Coll Cardiol 1997;29:1039-45.
3. Lombroso CT, Lerman P. Breathholding spells (cyanotic and pallid infantile syncope). Pediatrics 1967;39:563-81.
4. Ganzeboom KS, Colman N, Reitsma JB, et al. Prevalence and triggers for syncope in medical students. Am J Cardiol 2003;91:1006-8. ▶ This recent study shows that the prevalence of reflex syncope is very high in young subjects and that if can be caused by a large variety of triggers.
5. Wallace H, Shorvon S, Tallis R. Age-specific incidence and prevalence rates of treated epilepsy in an unselected population of 2052922 and age-specific fertility rates of women with epilepsy. Lancet 1998;352:1970-3.
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8. Wieling W, Karemaker JM. Recording of heart rate and blood pressure in the evaluation of neuro-cardiovascular control. In: Mathias CJ, Bannister R, eds. Autonomic failure. A textbook of clinical disorders of the autonomic nervous system, 4th ed. Oxford: Oxford University Press, 1999:196-210. ▶ This is a classical reference dealing with the evaluation of orthostatic cardiovascular responses. It stresses the importance of the differences between initial and delayed impairments in circulatory adjustments.
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18. Krediet CTP, Van Dijk N, Linzer M, et al. Management of vasovagal syncope: controlling or aborting faints by the combination of legcrossing and muscle tensing. Circulation 2002;106:1684-9. ▶ This is the first article that documents the effectiveness of physical counterpressure manoeuvres to combat orthostatic hypotension in reflex syncope. This approach is now considered as part of the basic instruction of patients.
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