We review a general approach to syncope in children.
Hosts:
Brian Gilberti, MD
Ellen Duncan, MD



https://media.blubrry.com/coreem/content.blubrry.com/coreem/Syncope_in_Children.mp3



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Tags: Cardiology, Pediatrics





Show Notes

Initial Evaluation and Management:

Similar initial workup for children and adults: checking glucose levels for hypoglycemia and conducting an EKG.
The history and physical exam are crucial.


Dextrose Administration in Children:

Explanation of the ‘rule of 50s’ for determining the appropriate dextrose solution and dosage for children.


ECG Analysis:

Importance of ECG in diagnosing dysrhythmias like long QT syndrome, Brugada syndrome, catecholamine polymorphic V tach, ARVD, ALCAPA, and Wolff-Parkinson-White syndrome.
Younger children’s dependency on heart rate for cardiac output and the risk of arrhythmias in kids with congenital heart disease.






Condition
Characteristic ECG Findings
Congenital/Acquired




Long QT Syndrome (LQTS)
Prolonged QT interval
Congenital/Acquired


Wolff-Parkinson-White Syndrome (WPW)
Short PR interval, Delta wave
Congenital


Brugada Syndrome
ST elevation in V1-V3, Right bundle branch block
Congenital


Atrioventricular Block (AV Block)
PR interval prolongation (1st degree), Missing QRS complexes (2nd & 3rd degree)
Congenital/Acquired