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PEDIATRICS Vol. 102 No. 4 October 1998, pp. 924-926

Syncope Recurrence in Children: Relation to Tilt-test Results

Received Mar 10, 1997; accepted Mar 19, 1998.

Mubadda A. Salim, Linda E. Ware, Marie Barnard, Bruce S. Alpert, and Thomas G. DiSessa

From the Division of Cardiology, Department of Pediatrics, University of Tennessee and LeBonheur Children's Medical Center, Memphis, Tennessee.

Objectives.  To examine the intermediate-term outcome of children with syncope and its relationship to tilt test.

Design.  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.

Results.  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.

Conclusions.  Syncope may recur after either a negative or a positive tilt test. The recurrence rate, however, is higher for the tilt-positive children.  Key words:  syncope, tilt test, recurrence, children, male, female.




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