Key result
Screening echocardiography identified a potential cardiac cause of syncope in only 2 of 322 cases (0.6%), both of which had markedly abnormal electrocardiograms.
Why the study?
Does screening echocardiography improve the identification of cardiac causes of syncope in pediatric patients?
Population
480 pediatric patients diagnosed with syncope, aged 1.5 to 18.0 years, 268 females.
Comparison
Screening echocardiography vs History, physical examination, and…
Design
Cohort
Authors
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Echocardiography adds little to pediatric syncope evaluation after normal ECG; leaves open whether targeted use improves outcomes in select cases.
Cohort (n=480)
Does screening echocardiography improve the identification of cardiac causes of syncope in pediatric patients?
Routine screening echocardiography provides little diagnostic benefit in pediatric syncope when history, physical examination, and ECG are normal.
Ritter et al. (2000) conducted a cohort in Pediatric syncope (n=480). Screening echocardiography was evaluated on Identification of a cardiac cause of syncope. Screening echocardiography identified a potential cardiac cause of syncope in only 2 of 322 cases (0.6%), both of which had markedly abnormal electrocardiograms.
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