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学科主题临床医学
Underlying diseases in syncope of children in China
Chen Li1; Wang Cheng2; Wang Hongwei3; Tian Hong4; Tang Chaoshu5,6; Jin Hongfang1; Du Junbao1
关键词Children Syncope Neurally-mediated Syncope
刊名MEDICAL SCIENCE MONITOR
2011-06-01
17期:6页:PH49-PH53
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, Research & Experimental
研究领域[WOS]Research & Experimental Medicine
关键词[WOS]OF-CARDIOLOGY ; CARE ; STATEMENT ; SOCIETY
英文摘要

Background: Syncope accounts for about 1-2% of emergency department visits, but the etiology in many patients with syncope is unclear. Recently, with the use of the head-up tilt test (HUT), the number of patients with unexplained syncope (UPS) has been decreasing; however, the spectrum of underlying diseases of syncope in children is unclear. This retrospective study aimed to analyze the spectrum of underlying diseases in children with syncope.

Material/Methods: This multi-center clinical study consisted of 888 children (417 males, 471 females, aged 5-18 yrs, median age 12.0 +/- 3.0 yrs) with syncope who came from Beijing city, Hunan province, Hubei province and Shanghai from August 1999 to March 2009. The clinical and laboratory data of children were studied and the spectrum of underlying diseases in children with syncope was analyzed.

Results: In 888 children with syncope, 175 (19.7%) had vasovagal syncope (VVS) with vasoinhibitory response, 35 (3.9%) had VVS with cardioinhibitory response, 73 (8.2%) had VVS with mixed response, 286 (32.2%) had postural orthostatic tachycardia syndrome (POTS), 19 (2.1%) had orthostatic hypotension, 7 (0.9%) had situational syncope, 13 (1.5%) had cardiogenic syncope, and 280 (31.5%) had unexplained syncope.

Conclusions: The data suggest that neurally-mediated syncope was the most common cause in children with syncope. POTS and VVS were the most common hemodynamic patterns of neurally-mediated syncope.

语种英语
WOS记录号WOS:000291437800018
项目编号D10100050010059
资助机构Capital Medical Development Scientific Project ; Science and Technology Program of Beijing ; Changjiang Scholar Program
引用统计
被引频次:19[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50207
专题北京大学第一临床医学院_儿科
作者单位1.Fudan Univ Pediat Hosp, Dept Electrocardiogram, Shanghai, Peoples R China
2.Peking Univ 1st Hosp, Dept Pediat, Beijing 100034, Peoples R China
3.Zhongnan Univ Xiangya 2nd Hosp, Dept Pediat, Changsha, Hunan, Peoples R China
4.Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Pediat, Wuhan, Hubei Province, Peoples R China
5.Peking Univ Hlth Sci Ctr, Beijing, Peoples R China
6.Minist Educ, Key Lab Mol Cardiovasc Med, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Chen Li,Wang Cheng,Wang Hongwei,et al. Underlying diseases in syncope of children in China[J]. MEDICAL SCIENCE MONITOR,2011,17(6):PH49-PH53.
APA Chen Li.,Wang Cheng.,Wang Hongwei.,Tian Hong.,Tang Chaoshu.,...&Du Junbao.(2011).Underlying diseases in syncope of children in China.MEDICAL SCIENCE MONITOR,17(6),PH49-PH53.
MLA Chen Li,et al."Underlying diseases in syncope of children in China".MEDICAL SCIENCE MONITOR 17.6(2011):PH49-PH53.
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