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学科主题临床医学
Value of history taking in children and adolescents with cardiac syncope
Zhang, Qingyou1; Zhu, Lulu1; Wang, Cheng2; Du, Zhongdong3; Hu, Xiufen4; Tian, Hong5; Todd, Ochs6; Zhang, Fengwen1; Du, Junbao1,7; Jin, Hongfang1
关键词Syncope paediatrics heart disease
刊名CARDIOLOGY IN THE YOUNG
2013-02-01
DOI10.1017/S1047951112000303
23期:1页:54-60
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems ; Pediatrics
资助者National Twelfth Five-Year Plan for Science and Technology Support ; Beijing Science and Technology Project ; Capital Medical Scientific Development Project ; National Twelfth Five-Year Plan for Science and Technology Support ; Beijing Science and Technology Project ; Capital Medical Scientific Development Project
研究领域[WOS]Cardiovascular System & Cardiology ; Pediatrics
关键词[WOS]UNEXPLAINED SYNCOPE ; PEDIATRIC-PATIENTS ; ASSOCIATION ; PROGNOSIS ; DISEASE
英文摘要

Aim: This study was designed to investigate the value of history taking in identifying children with cardiac syncope, and to improve diagnostic efficiency and accuracy in children with cardiac syncope. Methods and Results: We compared the characteristics of a group of children and adolescents with cardiac syncope at the Pediatric Syncope Unit of five hospitals in China with those with typical vasovagal syncope. We included a cohort of 275 patients in Pediatric Syncope Unit. A cardiac cause of syncope was established in 31 patients, autonomic-mediated reflex syncope in 214, non-syncopal attacks in 15, and in the remaining 15 the cause of syncope remained unexplained. Cardiac syncope was triggered by exercise, whereas vasovagal syncope by prolonged standing, warm-crowded place, and fear or pain emotion. Syncopal spells occurred at various positions in cardiac syncope. Children who had prodromal symptoms with cardiac syncope were significantly fewer than those with vasovagal syncope. Most children with cardiac syncope had history of abnormal electrocardiogram findings when compared with children suffering from vasovagal syncope. On multivariable analysis, history of abnormal electrocardiogram findings and exercise-triggered syncope were independent predictors of cardiac syncope. Conclusion: Children and adolescents with a history of abnormal electrocardiogram findings and exercise-related syncope spells were at high risk for cardiac syncope.

语种英语
所属项目编号2012 BA103B03 ; D10100050010059
资助者National Twelfth Five-Year Plan for Science and Technology Support ; Beijing Science and Technology Project ; Capital Medical Scientific Development Project ; National Twelfth Five-Year Plan for Science and Technology Support ; Beijing Science and Technology Project ; Capital Medical Scientific Development Project
WOS记录号WOS:000314424300009
引用统计
被引频次:14[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/400002259/64915
专题北京大学第一临床医学院_儿科
作者单位1.Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
2.Minist Educ, Key Lab Mol Cardiol, Beijing, Peoples R China
3.Peking Univ, Hosp 1, Dept Pediat, Beijing 100034, Peoples R China
4.Zhongnan Univ, Dept Pediat, Xiangya Hosp 2, Changsha, Hunan, Peoples R China
5.Capital Med Univ, Dept Cardiol, Beijing Childrens Hosp, Beijing, Peoples R China
6.Huazhong Univ Sci & Technol, Dept Pediat, Tongji Med Coll, Wuhan 430074, Peoples R China
7.Fudan Univ, Dept Pediat, Childrens Hosp, Shanghai 200433, Peoples R China
推荐引用方式
GB/T 7714
Zhang, Qingyou,Zhu, Lulu,Wang, Cheng,et al. Value of history taking in children and adolescents with cardiac syncope[J]. CARDIOLOGY IN THE YOUNG,2013,23(1):54-60.
APA Zhang, Qingyou.,Zhu, Lulu.,Wang, Cheng.,Du, Zhongdong.,Hu, Xiufen.,...&Jin, Hongfang.(2013).Value of history taking in children and adolescents with cardiac syncope.CARDIOLOGY IN THE YOUNG,23(1),54-60.
MLA Zhang, Qingyou,et al."Value of history taking in children and adolescents with cardiac syncope".CARDIOLOGY IN THE YOUNG 23.1(2013):54-60.
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