| Syncope and sudden death in the adolescent. | |
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MedLine Citation:
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PMID: 11224026 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Syncope is the sudden loss of consciousness and postural tone resulting from an abrupt, transient cerebral malfunction, followed by spontaneous recovery. It is common among adolescents and is usually due to a benign neurocardiogenic (vasovagal) etiology. Rarely, syncope is premonitory of sudden death. The physician must be knowledgeable about the characteristics of neurocardiogenic syncope and what distinguishes it from life-threatening causes. Evaluation of syncope should be based on a complete personal and family history, a thorough physical examination, and an electrocardiogram. Risk factors include syncope that is recurrent, exercise-induced, or not neurocardiogenic in nature; accompanying anginal chest pain, palpitations, and/or dyspnea; cardiac disease; seizure activity; athletic competition; and positive family history for conditions associated with sudden death (e.g., hypertrophic cardiomyopathy, long QT syndrome). Adolescents with these risk factors should be referred to a pediatric cardiologist for specialized testing and management. |
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Authors:
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C A Walsh |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Adolescent medicine (Philadelphia, Pa.) Volume: 12 ISSN: 1041-3499 ISO Abbreviation: Adolesc Med Publication Date: 2001 Feb |
Date Detail:
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Created Date: 2001-03-06 Completed Date: 2001-07-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9006270 Medline TA: Adolesc Med Country: United States |
Other Details:
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Languages: eng Pagination: 105-32 Citation Subset: IM |
Affiliation:
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Divisions of Pediatric Cardiology and Critical Care Medicine, Pediatric Dysrythmia Center, Albert Einstein College of Medicine, The Children's Hospital at Montefiore, 111 East 210th Street, Bronx, NY 10467. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Arrhythmias, Cardiac / complications Cardiomyopathies / complications Cardiomyopathy, Hypertrophic / complications Death, Sudden* Death, Sudden, Cardiac Diagnosis, Differential Heart Defects, Congenital / complications Humans Hypertension, Pulmonary / complications Marfan Syndrome / complications Risk Factors Sports Syncope / diagnosis, etiology* Ventricular Outflow Obstruction / complications, etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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