Abstract
Neurocardiogenic syncope is the most common form of syncope in children. The most widely accepted mechanism of its etiology is a vigorous contraction of the heart due to relative hypovolemia leading to stimulation of C-fibers and sympathetic withdrawal. Episodes usually occur with an upright position and are preceded by a typical prodrome. A classic history is paramount to the diagnosis. Tilt testing aids in the diagnosis in certain cases. The cornerstone of therapy is maintaining adequate hydration and avoiding situations that may lead to harm with syncopal events. Beta blockers, fludrocortisone, alpha adrenergic agents and disopyramide are commonly used to prevent syncope. Seratonin reuptake inhibitors, pacing with rate drop algorithms and tilt training are relatively new in the armamentarium of therapy.
| Original language | English |
|---|---|
| Pages (from-to) | 127-131 |
| Number of pages | 5 |
| Journal | Progress in Pediatric Cardiology |
| Volume | 13 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jul 28 2001 |
| Externally published | Yes |
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Keywords
- Evaluation
- Medications
- Neurocardiogenic syncope
- Pacing
- Tilt-table testing
- Treatment
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Evaluation and treatment of pediatric patients with neurocardiogenic syncope. / Sokoloski, Mary C.
In: Progress in Pediatric Cardiology, Vol. 13, No. 2, 28.07.2001, p. 127-131.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Evaluation and treatment of pediatric patients with neurocardiogenic syncope
AU - Sokoloski, Mary C
PY - 2001/7/28
Y1 - 2001/7/28
N2 - Neurocardiogenic syncope is the most common form of syncope in children. The most widely accepted mechanism of its etiology is a vigorous contraction of the heart due to relative hypovolemia leading to stimulation of C-fibers and sympathetic withdrawal. Episodes usually occur with an upright position and are preceded by a typical prodrome. A classic history is paramount to the diagnosis. Tilt testing aids in the diagnosis in certain cases. The cornerstone of therapy is maintaining adequate hydration and avoiding situations that may lead to harm with syncopal events. Beta blockers, fludrocortisone, alpha adrenergic agents and disopyramide are commonly used to prevent syncope. Seratonin reuptake inhibitors, pacing with rate drop algorithms and tilt training are relatively new in the armamentarium of therapy.
AB - Neurocardiogenic syncope is the most common form of syncope in children. The most widely accepted mechanism of its etiology is a vigorous contraction of the heart due to relative hypovolemia leading to stimulation of C-fibers and sympathetic withdrawal. Episodes usually occur with an upright position and are preceded by a typical prodrome. A classic history is paramount to the diagnosis. Tilt testing aids in the diagnosis in certain cases. The cornerstone of therapy is maintaining adequate hydration and avoiding situations that may lead to harm with syncopal events. Beta blockers, fludrocortisone, alpha adrenergic agents and disopyramide are commonly used to prevent syncope. Seratonin reuptake inhibitors, pacing with rate drop algorithms and tilt training are relatively new in the armamentarium of therapy.
KW - Evaluation
KW - Medications
KW - Neurocardiogenic syncope
KW - Pacing
KW - Tilt-table testing
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=0034938971&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034938971&partnerID=8YFLogxK
U2 - 10.1016/S1058-9813(01)00095-9
DO - 10.1016/S1058-9813(01)00095-9
M3 - Article
AN - SCOPUS:0034938971
VL - 13
SP - 127
EP - 131
JO - Progress in Pediatric Cardiology
JF - Progress in Pediatric Cardiology
SN - 1058-9813
IS - 2
ER -