Key result
Careful history, physical exam, and ECG identify most serious cardiac conditions in pediatric syncope.
Why the study?
Syncope is a common complaint in children and adolescents that often causes anxiety about cardiovascular disease and sudden cardiac death, necessitating careful evaluation.
Population
Children and adolescents presenting with syncope
Design
Review
Authors
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May reduce low-yield testing in pediatric syncope; leaves open prospective validation before practice change.
In pediatric syncope, a detailed history, physical examination, and ECG are sufficient for initial screening, avoiding the need for expensive and low-yield advanced diagnostic testing in most cases.
Jay Yeh (2015) conducted a review in Syncope. Careful screening by detailed patient history, physical examination, and ECG identifies a significant majority of serious underlying cardiac conditions in children and adolescents with syncope.
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