首页|Guidelines for the diagnosis and treatment of neurally mediated syncope in children and adolescents(revised 2024)

Guidelines for the diagnosis and treatment of neurally mediated syncope in children and adolescents(revised 2024)

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Background Significant progress has been made in the diagnosis and treatment of pediatric syncope since the publication of the"2018 Chinese Pediatric Cardiology Society(CPCS)guideline for diagnosis and treatment of syncope in children and adolescents"("2018 Edition Guidelines").Therefore,we have revised and updated it to assist pediatricians in effectively managing children with syncope.Data sources According to the"2018 Edition Guidelines",the expert groups collected clinical evidence,evaluated pre-liminary recommendations,and then organized open-ended discussions to form the recommendations.This guideline was developed by reviewing the literature and studies in databases including PubMed,Cochrane,EMBASE,China Biomedical Database,and Chinese Journal Full-text Database up to April 2024.Search terms included"syncope","children","adoles-cents","diagnosis",and"treatment."Results The guidelines were based on the latest global research progress and were evidence-based.The classification of syncope etiology,diagnostic procedures,postural tests,such as the active standing test,head-up tilt test,and active sitting test,clinical diagnosis,and individualized treatment for neurally mediated syncope in pediatric population were included.Conclusions The guidelines were updated based on the latest literature.The concepts of sitting tachycardia syndrome and sitting hypertension were introduced and the comorbidities of neurally mediated syncope were emphasized.Some biomarkers used for individualized treatment were underlined.Specific suggestions were put forward for non-pharmacological therapies as well as the follow-up process.The new guidelines will provide comprehensive guidance and reference for the diagnosis and treatment of neurally mediated syncope in children and adolescents.

AdolescentsChildrenDiagnosisNeurally mediated syncopeTreatment

Cheng Wang、Ying Liao、Shuo Wang、Hong Tian、Min Huang、Xiang-Yu Dong、Lin Shi、Ya-Qi Li、Jing-Hui Sun、Jun-Bao Du、Hong-Fang Jin、Chinese Pediatric Cardiology Society,Chinese Pediatric Society,Chinese Medical Association、Committee of Pediatric Syncope,College of Pediatricians,Chinese Medical Doctor Association、Pediatric Cardiology Society,Beijing Pediatric Society,Beijing Medical Association、Committee of Pediatric Cardiology,College of Cardiovascular Physicians,Chinese Medical Doctor Associ

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Department of Pediatric Cardiovasoloy,Children's Medical Center,The Second Xiangya Hospital,Central South University,Changsha 410011,China

Department of Pediatrics,Peking University First Hospital,Beijing 100034,China

Department of Pediatrics,Xiangya Hospital,Central South University,Changsha 410008,China

Department of Pediatric Cardiology,Children's Hospital of Fudan University,Shanghai 201102,China

Department of Pediatric Cardiology,Shanghai Children's Hospital,Shanghai 201102,China

Department of Pediatrics,Lanzhou University Second Hospital,Lanzhou 730020,China

Department of Pediatric Cardiology,Capital Institute of Pediatrics,Beijing 100020,China

Department of Pediatrics,Jilin University First Hospital,Changchun 130021,China

State Key Laboratory of Vascular Homeostasis and Remodeling,Peking University,Beijing 100191,China

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2024

10.1007/s12519-024-00819-w

世界儿科杂志(英文版)

世界儿科杂志(英文版)

CSTPCD
ISSN：
年,卷(期)：2024.20(10)