Advances in diagnosis, management, and long-term outcomes of pediatric vasovagal syncope: a comprehensive review

Frontiers in Cardiovascular Medicine, Journal Year: 2025, Volume and Issue: 12

Published: April 25, 2025

Vasovagal syncope (VVS) is the most common cause of transient loss consciousness in children and adolescents, accounting for 60%-80% cases. This review synthesizes current evidence on pediatric VVS, focusing advances diagnosis, management, long-term outcomes. Through a comprehensive literature search studies published between 2001 2024, we analyzed epidemiological patterns, pathophysiological mechanisms, diagnostic approaches, management strategies, prognostic factors. Recent include implantable loop recorders smartphone applications, which have improved accuracy. Management has evolved toward individualized emphasizing non-pharmacological interventions (hydration, salt supplementation, physical counterpressure maneuvers) as first-line treatment, with medications such midodrine fludrocortisone showing variable efficacy refractory Long-term indicate that while experience improvement over time, 33%-50% recurrent episodes within three years, factors lower mean arterial pressure, higher urine specific gravity, younger age, family history syncope, body mass index associated increased recurrence risk. Though generally benign, VVS can significantly impact quality life carries substantial psychosocial consequences. Future research should focus developing predictive models risk exploring personalized treatment approaches to improve

Language: Английский

Emotional and behavioral problems in children and adolescents with hearing impairment

BMC Pediatrics, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 9, 2025

Language: Английский

Review of Chest Pain in Children after COVID-19 Pandemic in Albaha, Saudi Arabia

Published: Aug. 27, 2024

Introduction: Although chest pain in children induces anxiety among their parents and caregivers, various studies have reported that the majority of cases are benign not related to cardiac disorders. Methodology objectives: This is retrospective cohort file review study between January 2022 December 2023, included all admitted pediatric patients due pain. The aimed clinical profile etiology after coronavirus disease 2019 (COVID-19) pandemic Albaha, Saudi Arabia. Results: We noted some pre- versus post-pandemic differences prevalence Idiopathic causes were most common, but incidence decreased from 56% 40.5% (p=0.20). Respiratory increased 13% 21.4% (p=0.14) became more common than musculoskeletal (18.6%; p=0.23). Gastrointestinal slightly 4% 8.4% (p=0.17). A slight uptick psychogenic was observed 7.4% (p=0.16), female patients. In contrast, 7% 3.7% (p=0.09). Conclusion: confirmed has a origin cases. After COVID-19 pandemic, mild noted, while elevated.

Language: Английский