2018 Chinese Pediatric Cardiology Society (CPCS) guideline for diagnosis and treatment of syncope in children and adolescents

被引：100

作者：

Wang, Cheng ^{[1
]}

Li, Yaqi ^{[2
]}

Liao, Ying ^{[2
]}

Tian, Hong ^{[3
]}

Huang, Min ^{[4
]}

Dong, Xiangyu ^{[5
]}

Shi, Lin ^{[6
]}

Sung, Jinghui ^{[7
]}

Jin, Hongfang ^{[2
]}

Du, Junbao ^{[2
]}

An, Jindou ^{[8
,9
]}

Chen, Jie ^{[9
]}

Chen, Mingwu ^{[8
,9
]}

Chen, Qi ^{[8
]}

Chen, Sun ^{[8
]}

Chen, Yonghong ^{[10
]}

Chen, Zhi ^{[8
,9
]}

Chau, Adolphus Kai-Tung ^{[8
]}

Du, Zhongdong ^{[9
,10
,11
]}

Duan, Junkai ^{[8
]}

Duan, Hongyu ^{[9
]}

Feng, Lin ^{[8
,9
]}

Fu, Lijun ^{[8
]}

Gong, Fangqi ^{[11
]}

Gui, Yonghao ^{[8
]}

Han, Ling ^{[9
,10
]}

Han, Zhenhui ^{[9
]}

He, Bing ^{[8
,9
]}

He, Zhixu ^{[11
]}

Hu, Xiufen ^{[8
]}

Hua, Yimin ^{[8
]}

Huang, Guoying ^{[8
]}

Huang, Ping ^{[8
,9
]}

Huang, Yujuan ^{[9
]}

Jin, Mei ^{[8
,9
,10
]}

Li, Bo ^{[8
,9
]}

Li, Fen ^{[11
]}

Li, Tao ^{[8
]}

Li, Xiaohui ^{[9
,10
,11
]}

Liu, Xiaoyan ^{[9
]}

Li, Yan ^{[8
,9
]}

Lv, Haitao ^{[8
]}

Lv, Tiewei ^{[8
]}

Li, Zipu ^{[8
,9
]}

Ma, Luyi ^{[9
,11
]}

Pan, Silin ^{[11
]}

Pang, Yusheng ^{[8
,9
]}

Peng, Hua ^{[8
]}

Qin, Yuming ^{[8
]}

Shen, Jie ^{[9
]}

机构：

[1] Cent S Univ, Second Xiangya Hosp, Childrens Med Ctr, Dept Pediat Cardiovasoloy, Changsha 410011, Hunan, Peoples R China

[2] Peking Univ, Dept Pediat, Hosp 1, Beijing 100034, Peoples R China

[3] Fudan Univ, Dept Pediat Cardiol, Childrens Hosp, Shanghai 201102, Peoples R China

[4] Shanghai Childrens Hosp, Dept Pediat Cardiol, Shanghai 201102, Peoples R China

[5] Lanzhou Univ, Dept Pediat, Hosp 2, Lanzhou 730020, Gansu, Peoples R China

[6] Capital Inst Pediat, Dept Pediat Cardiol, Beijing 100020, Peoples R China

[7] Jilin Univ, Dept Pediat, Hosp 1, Changchun 130021, Jilin, Peoples R China

[8] Chinese Med Assoc, Chinese Pediat Soc, Chinese Pediat Cardiol Soc CPCS, Beijing, Peoples R China

[9] Chinese Med Doctor Assoc, Pediatricians Branch, Comm Pediat Syncope, Beijing, Peoples R China

[10] Beijing Med Assoc, Beijing Pediat Soc, Pediat Cardiol Soc, Beijing, Peoples R China

[11] Chinese Med Doctor Assoc, Chinese Coll Cardiovasc Phys, Comm Pediat Cardiol, Beijing, Peoples R China

来源：

SCIENCE BULLETIN | 2018年 / 63卷 / 23期

基金：

中国国家自然科学基金;

关键词：

POSTURAL TACHYCARDIA SYNDROME; ASSOCIATION POSITION STATEMENT; THERAPEUTIC RESPONSE; MIDODRINE HYDROCHLORIDE; VASOVAGAL SYNCOPE; CLINICAL CHARACTERISTICS; ORTHOSTATIC INTOLERANCE; CARDIAC SYNCOPE; PLASMA COPEPTIN; TILT-TEST;

D O I：

10.1016/j.scib.2018.09.019

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Syncope belongs to the transient loss of consciousness (TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society (CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association (CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association (CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association (CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association (BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and head-up tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up. (C) 2018 Science China Press. Published by Elsevier By, and Science China Press. All rights reserved.

引用

页码：1558 / 1564

页数：7

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