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KMID : 1148020130380030107
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조선대학교의대논문집
2013 Volume.38 No. 3 p.107 ~ p.113
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Clinical Analysis of Pediatric Patients with Syncope
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Ryu Mi-Sun
Lee Jae-Hee
Kim Eun-Young
Rho Young-Il
Yang Eun-Seok
Moon Kyung-Rye
Park Yeong-Bong
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Abstract
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Syncope is a common symptom, with 15% to 25% of children and adolescents experiencing at least one syncopal episode byyoung adulthood. In most cases, syncope is a symptom of benign diseases however may be a symptom of severe cardiacdisease that results in sudden death. The purpose of this study is to analyze the etiologies and clinical characteristics of syncopein children and adolescents. We retroprospectively analyzed 51 patients with syncope. A total of 51 patients were includedin the study and the ratio of males to female was 1: 1.04. The mean patient age was 12.7±3.1 years. Abrupt standingwas the most common state of patients with syncopal attack. The etiologies of syncope were noncardiac syncope (60.7%),cardiac syncope (2%), neuropsychiatric syncope (25.5%), and unknown (11.8%). Abnormality of the head-up tilt test wasmore common in noncardiac syncope than the others [38.7% (12/31) vs 5% (1/20) (p=0.007)]. Further, EEG is a useful diagnostictest for neuropychiatric syncope [41.6% (5/12) vs 2.7% (1/36) (p=0.002)]. Therefore, detailed history taking and physicalexaminations were useful tools to diagnose the etiology of sycope. The head-up tilt test is an effective diagnostic test innoncardiac syncope and EEG is a valuable test in neuropychiatric syncope, especially in seizure.
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KEYWORD
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Syncope, Children, Etiology, Head-up tilt test, Electroencephalogram
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