<< Syncope In Pediatric Patients: A Practical Approach To Differential Diagnosis And Management In The Emergency Department

Differential Diagnosis

Differentiating cardiogenic syncope from the other causes can be especially challenging for the emergency clinician. Several highly publicized cases have drawn attention to life-threatening diagnoses such as hypertrophic cardiomyopathy (HCM) and cardiac dysrhythmias.1 Although these make up a small proportion of syncope cases that present to the ED, they account for the vast majority of morbidity and mortality in the pediatric population. Extensive evaluation of children presenting with syncope is low-yield and often costly.9-12 Fortunately, several simple historical and physical examination features can aid the emergency clinician in distinguishing between cardiac and noncardiac syncope. 

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