Syncope in adolescents and children is generally a benign event. In a large cohort of ED visits of patients aged 7 to 18 years, 0.9% were for syncope.140 The approach to pediatric patients with syncope is the same as in adults. History, physical examination, and ECG are most helpful in determining a diagnosis and in guiding testing. The yield of unguided diagnostics (laboratory tests, head CT) is low.141-144 The most common diagnosis in pediatric groups is neurally mediated syncope (65%- 80%), distantly followed by orthostatic hypotension and cardiac syncope.141,144,145
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