To examine the intermediate-term outcome of children with syncope and its relationship to tilt test.
This was a retrospective study of 45 children.
In 20, the tilt test was negative.
Follow-up with respect to the recurrence of syncope was obtained via chart review, a mailed questionnaire, or telephone interview.
Follow-up data were available on 15 children whose tilt test was negative and on all 25 tilt-test positive children.
Recurrent syncope was significantly greater in the positive-tilt children (13 of 25) than the negative-tilt children (2 of 15).
There was no difference between the syncope-free group and the recurrent syncope group or between the tilt-positive and tilt-negative groups with respect to age at initial syncope, duration of symptoms, age at tilt test, and duration of follow-up.
Children with a positive tilt test and those with recurrent syncope had more syncopal episodes before their evaluation than either the group with a negative tilt test or the group with no recurrent syncope, respectively.
Syncope may recur after either a negative or a positive tilt test.
The recurrence rate, however, is higher for the tilt-positive children.
Mots-clés Pascal : Syncope, Enfant, Homme, Adolescent, Etude comparative, Récidive, Essai, Rythme cardiaque, Pression artérielle, Traitement, Test clinique, Système nerveux pathologie, Trouble neurologique, Trouble conscience, Appareil circulatoire pathologie, tilt-test
Mots-clés Pascal anglais : Syncope, Child, Human, Adolescent, Comparative study, Relapse, Test, Heart rate, Arterial pressure, Treatment, Clinical test, Nervous system diseases, Neurological disorder, Consciousness impairment, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0511763
Code Inist : 002B12A02. Création : 23/03/1999.