- At least 15% of all children will experience a syncopal episode before
the end of the second decade of life. Neurocardiogenic syncope is reported
to be the most common etiology of syncope, accounting for 1/3 of all
- Exact sensitivity and specificity of tilt table testing are difficult
to assess, as the true cause of syncope is unknown, and there is presently
no “gold” standard test for the diagnosis of neurocardiogenic syncope.
- Universally accepted tilt table protocol does not exist in children
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pediatric patients: Comparison with symptomatic patients. Clinical
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D, Celiker A, Ozme S. Head-Up tilt test: A highly sensitive, specific
test for children with unexplained syncope. Pediatric Cardiology
MM. Neurally mediated syncope in children: Results of tile testing,
treatment, and long-term follow-up. Cardiology 1999; 20:331-335.
AK, Franklin WH, Chan DP, Cassidy SC, Allen HD. Oral fluid therapy:
A promising treatment for vasodepressor syncope. Arch Pediatric Adolesc
Med 1998; 152: 165-168.