Episode 192: Syncope in Children

We review a general approach to syncope in children.

Hosts:
Brian Gilberti, MD
Ellen Duncan, MD

Download Leave a Comment 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.

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)