[Cardiac syncope in children].
Identifieur interne : 000F97 ( PubMed/Curation ); précédent : 000F96; suivant : 000F98[Cardiac syncope in children].
Auteurs : E. Villain [France]Source :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [ 0929-693X ] ; 2004.
English descriptors
- KwdEn :
- MESH :
- complications : Arrhythmias, Cardiac, Wolff-Parkinson-White Syndrome.
- diagnosis : Syncope.
- etiology : Syncope.
- Child, Electrocardiography, Humans.
Abstract
Syncope is a frequent problem in childhood; generally, it is an isolated event and the common causes are benign. However, in some circumstances, syncope can herald a potentially lethal problem, especially when occurring during exercise. Routine evaluation includes history, physical examination and a 12-lead standard ECG should be performed in all cases. Worrying features which should be an indication for further investigation include syncope during exercise, collapse in a swimming pool, history of familial sudden death, and abnormalities on clinical exam or ECG. Structural cardiac abnormalities that may cause syncope and sudden death include aortic stenosis, hypertrophic cardiomyopathy and coronary malformations. All children with unrepaired or repaired congenital heart disease who experienced a syncope should be referred to a specialist. Primary arrhythmias that are easily diagnosed on ECG are the long QT syndrome, complete atrio-ventricular block and Wolff-Parkinson-White syndrome; ST elevation in V1-V3 may reveal a Brugada syndrome. Another arrhythmia which is known to be potentially fatal if undiagnosed is the catecholaminergic ventricular tachycardia; the baseline ECG is normal but the arrhythmia is easily reproduced during exercise testing. Finally, vasovagal syncope is the most likely cause of syncope in the young and it usually easily recognized.
DOI: 10.1016/j.arcped.2003.10.017
PubMed: 14761742
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Villain</name><affiliation wicri:level="1"><nlm:affiliation>Service de cardiologie pédiatrique, hôpital Necker-Enfants-Malades, Paris, France. elisabeth.villain@nck.ap-hop-paris.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de cardiologie pédiatrique, hôpital Necker-Enfants-Malades, Paris</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:14761742</idno><idno type="pmid">14761742</idno><idno type="doi">10.1016/j.arcped.2003.10.017</idno><idno type="wicri:Area/PubMed/Corpus">001038</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001038</idno><idno type="wicri:Area/PubMed/Curation">000F97</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000F97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Cardiac syncope in children].</title><author><name sortKey="Villain, E" sort="Villain, E" uniqKey="Villain E" first="E" last="Villain">E. Villain</name><affiliation wicri:level="1"><nlm:affiliation>Service de cardiologie pédiatrique, hôpital Necker-Enfants-Malades, Paris, France. elisabeth.villain@nck.ap-hop-paris.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de cardiologie pédiatrique, hôpital Necker-Enfants-Malades, Paris</wicri:regionArea></affiliation></author></analytic><series><title level="j">Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</title><idno type="ISSN">0929-693X</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arrhythmias, Cardiac (complications)</term><term>Child</term><term>Electrocardiography</term><term>Humans</term><term>Syncope (diagnosis)</term><term>Syncope (etiology)</term><term>Wolff-Parkinson-White Syndrome (complications)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arrhythmias, Cardiac</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Syncope</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Syncope</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Electrocardiography</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Syncope is a frequent problem in childhood; generally, it is an isolated event and the common causes are benign. However, in some circumstances, syncope can herald a potentially lethal problem, especially when occurring during exercise. Routine evaluation includes history, physical examination and a 12-lead standard ECG should be performed in all cases. Worrying features which should be an indication for further investigation include syncope during exercise, collapse in a swimming pool, history of familial sudden death, and abnormalities on clinical exam or ECG. Structural cardiac abnormalities that may cause syncope and sudden death include aortic stenosis, hypertrophic cardiomyopathy and coronary malformations. All children with unrepaired or repaired congenital heart disease who experienced a syncope should be referred to a specialist. Primary arrhythmias that are easily diagnosed on ECG are the long QT syndrome, complete atrio-ventricular block and Wolff-Parkinson-White syndrome; ST elevation in V1-V3 may reveal a Brugada syndrome. Another arrhythmia which is known to be potentially fatal if undiagnosed is the catecholaminergic ventricular tachycardia; the baseline ECG is normal but the arrhythmia is easily reproduced during exercise testing. Finally, vasovagal syncope is the most likely cause of syncope in the young and it usually easily recognized.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">14761742</PMID><DateCreated><Year>2004</Year><Month>02</Month><Day>05</Day></DateCreated><DateCompleted><Year>2004</Year><Month>04</Month><Day>28</Day></DateCompleted><DateRevised><Year>2007</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0929-693X</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><Issue>2</Issue><PubDate><Year>2004</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</Title><ISOAbbreviation>Arch Pediatr</ISOAbbreviation></Journal><ArticleTitle>[Cardiac syncope in children].</ArticleTitle><Pagination><MedlinePgn>169-74</MedlinePgn></Pagination><Abstract><AbstractText>Syncope is a frequent problem in childhood; generally, it is an isolated event and the common causes are benign. However, in some circumstances, syncope can herald a potentially lethal problem, especially when occurring during exercise. Routine evaluation includes history, physical examination and a 12-lead standard ECG should be performed in all cases. Worrying features which should be an indication for further investigation include syncope during exercise, collapse in a swimming pool, history of familial sudden death, and abnormalities on clinical exam or ECG. Structural cardiac abnormalities that may cause syncope and sudden death include aortic stenosis, hypertrophic cardiomyopathy and coronary malformations. All children with unrepaired or repaired congenital heart disease who experienced a syncope should be referred to a specialist. Primary arrhythmias that are easily diagnosed on ECG are the long QT syndrome, complete atrio-ventricular block and Wolff-Parkinson-White syndrome; ST elevation in V1-V3 may reveal a Brugada syndrome. Another arrhythmia which is known to be potentially fatal if undiagnosed is the catecholaminergic ventricular tachycardia; the baseline ECG is normal but the arrhythmia is easily reproduced during exercise testing. Finally, vasovagal syncope is the most likely cause of syncope in the young and it usually easily recognized.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Villain</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Service de cardiologie pédiatrique, hôpital Necker-Enfants-Malades, Paris, France. elisabeth.villain@nck.ap-hop-paris.fr</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Syncopes d'origine cardiaque chez l'enfant.</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Arch Pediatr</MedlineTA><NlmUniqueID>9421356</NlmUniqueID><ISSNLinking>0929-693X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001145" MajorTopicYN="N">Arrhythmias, Cardiac</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004562" MajorTopicYN="N">Electrocardiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013575" MajorTopicYN="Y">Syncope</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014927" MajorTopicYN="N">Wolff-Parkinson-White Syndrome</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>2</Month><Day>6</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>4</Month><Day>29</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>2</Month><Day>6</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">14761742</ArticleId><ArticleId IdType="doi">10.1016/j.arcped.2003.10.017</ArticleId><ArticleId IdType="pii">S0929693X03006444</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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