Vasovagal fainting in children and teenagers: Difference between revisions

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Syncope is an infrequent occurrence in adults. The incidence of syncope progressively increases over the age of about 40 years to become high at in the older age groups. A lower peak occurs in older infants and toddlers, most commonly referred to as “breath-holding spells”  
Syncope is an infrequent occurrence in adults. The incidence of syncope progressively increases over the age of about 40 years to become high at in the older age groups. A lower peak occurs in older infants and toddlers, most commonly referred to as “breath-holding spells”  


The incidence of syncope in young subjects coming to medical attention varies from approximately 0.5 to 3 cases per 1000 (0.05 – 0.3%) <cite>Driscoll</cite>.  Syncopal events which do not reach medical attention occur much more frequently. In fact, the recently published results of a survey of students averaging 20 years of age demonstrated that about 20% of male and 50% of females report to have experienced at least one syncopal episode [8]. By comparison, the prevalence of epileptic seizures in a similar age group is about 5 per 1000 (0.5%) <cite>Wallace</cite> and cardiac syncope (i.e., cardiac arrhythmias or structural heart disease) is even far less common <cite>Wieling</cite><cite>Colman</cite>.
The incidence of syncope in young subjects coming to medical attention varies from approximately 0.5 to 3 cases per 1000 (0.05 – 0.3%) <cite>Driscoll</cite>.  Syncopal events which do not reach medical attention occur much more frequently. In fact, the recently published results of a survey of students averaging 20 years of age demonstrated that about 20% of male and 50% of females report to have experienced at least one syncopal episode <cite>Ganzeboom</cite>. By comparison, the prevalence of epileptic seizures in a similar age group is about 5 per 1000 (0.5%) <cite>Wallace</cite> and cardiac syncope (i.e., cardiac arrhythmias or structural heart disease) is even far less common <cite>Wieling</cite><cite>Colman</cite>.
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