Document Type : original article

Authors

1 Department of pediatrics, faculty of medicine, Urmia University of Medical Sciences, Urmia, Iran.

2 Department of pediatrics, faculty of medicine, Urmia University of Medical Sciences, Urmia, Iran

3 Medical student, Urmia University of Medical Sciences, Urmia, Iran

10.22038/ijp.2024.68284.5075

Abstract

Background: This study aimed to evaluate the precipitating factors, demographic characteristics, clinical and radiological manifestations, as well as the electroencephalographic, echocardiographic, electrocardiographic (ECG), and laboratory findings in children experiencing syncope; in addition the recurrence rates were assessed from 2010 to 2020.
Methods: This cross-sectional, retrospective study involved the collection of demographic information (age, sex, weight, and height), clinical signs (analyzed through the clinical course and available medical history), laboratory data, echocardiographic findings, electroencephalogram results, ECG readings, and brain imaging (CT or MRI) for children diagnosed with syncope at Motahari Hospital in Urmia, Iran, over a ten-year period from 2010 to 2020.
Results: A total of 61 children with syncope were included in the study, with a mean age of 8.3 years. Laboratory analyses, including Complete Blood Counts (CBC) and serum electrolytes, were within normal limits. The electroencephalogram did not demonstrate any significant abnormalities. The majority of subjects reported that syncope occurred while in a standing position.
Conclusion: Our findings suggest that there is no evident correlation between clinical and paraclinical findings and the occurrence of syncope. Nonetheless, additional assessments, including ECG, electroencephalography, and routine blood tests, may be essential for identifying potential serious underlying causes of syncope. The results of these investigations can guide clinicians in implementing further diagnostic and therapeutic measures.

Keywords

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