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Association of clinical characteristics of unexplained syncope with the outcome of head-up tilt tests in children
Qingyou, Z; Junbao, D; Jianjun, C; Wanzhen, L
关键词Syncope Clinical Symptom Head-up Test
刊名PEDIATRIC CARDIOLOGY
2004-07-01
DOI10.1007/s00246-003-0513-4
25期:4页:360-364
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems ; Pediatrics
研究领域[WOS]Cardiovascular System & Cardiology ; Pediatrics
英文摘要

The aim of this study was to clarify the association of clinical characteristics of unexplained syncope with the outcome of the head-up tilt test (HUT) in children. A total of 47 patients with unexplained syncope were classified into two groups according to their outcomes of HUT: the positive response group and the negative response group. We reviewed their clinical data as well as the results of HUT and analyzed them with logistic regression method. The results showed that the incidence of positive responses to HUT was higher in girls than in boys (8/22 vs 10/7, p < 0.05). Compared with fainted children younger than 12 years of age, 12- to 16-year-old adolescents with unexplained syncope had a high positive outcome of HUT (30 vs 72.9%, p < 0.05). Compared with fainted children with negative response of HUT, children with positive response to HUT often had syncope in special circumstances (e.g., prolonged standing, anxiety and fright, and morning exercise), and they often had prodrome, such as pallor, lightheadedness, and nausea (28/30 vs 8/17, p < 0.05). However, the number and duration of syncopal spells did not relate to the positive responses to HUT. The logistic regression analysis showed that three factors significantly influenced the outcome of HUT: predisposing factors of syncope, prodrome of syncope, and age (p < 0.05; OR = 32.9434, 17.7281, and 2.7842, respectively). Hence, if pubertal girls with unexplained syncope had clear predisposing factors and prodromes, they were likely to have positive responses to HUT, and they were likely to be clinically considered as having vasovagal syncope.

语种英语
WOS记录号WOS:000222979600008
引用统计
被引频次:22[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/400002259/52624
专题北京大学第一临床医学院_儿科
作者单位Peking Univ, Hosp 1, Dept Pediat, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Qingyou, Z,Junbao, D,Jianjun, C,et al. Association of clinical characteristics of unexplained syncope with the outcome of head-up tilt tests in children[J]. PEDIATRIC CARDIOLOGY,2004,25(4):360-364.
APA Qingyou, Z,Junbao, D,Jianjun, C,&Wanzhen, L.(2004).Association of clinical characteristics of unexplained syncope with the outcome of head-up tilt tests in children.PEDIATRIC CARDIOLOGY,25(4),360-364.
MLA Qingyou, Z,et al."Association of clinical characteristics of unexplained syncope with the outcome of head-up tilt tests in children".PEDIATRIC CARDIOLOGY 25.4(2004):360-364.
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