B) While vasovagal syncope is the most common cause, this is a rare cause in children under 6 years old
Syncope is a common chief complaint in the pediatric emergency department, accounting for 3% of visits. The most common causes are autonomic-mediated: vasovagal, orthostatic, situational (e.g. sight of blood), although these are uncommon in children < 6 years old. Cardiac syncope is the etiology in 4% of cases. The AAP recommends a screening EKG for a first episode of syncope. Other tests to consider include: bedside glucose, hematocrit, orthostatic vital signs, and urine pregnancy test. Imaging is not routinely recommended. Syncope is most common in the late teen years and in females, and up to 60% will have a subsequent episode.
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April 29, 2025 at 8:31 pm
B) While vasovagal syncope is the most common cause, this is a rare cause in children under 6 years old
Syncope is a common chief complaint in the pediatric emergency department, accounting for 3% of visits. The most common causes are autonomic-mediated: vasovagal, orthostatic, situational (e.g. sight of blood), although these are uncommon in children < 6 years old. Cardiac syncope is the etiology in 4% of cases. The AAP recommends a screening EKG for a first episode of syncope. Other tests to consider include: bedside glucose, hematocrit, orthostatic vital signs, and urine pregnancy test. Imaging is not routinely recommended. Syncope is most common in the late teen years and in females, and up to 60% will have a subsequent episode.