Preview

Clinical Medicine (Russian Journal)

Advanced search

Syncope in children and adolescents in sports medicine

https://doi.org/10.30629/0023-2149-2024-102-3-268-272

Abstract

The clinical case of a neuro-mediated syncope episode in a sports-active adolescent is presented. The differential diagnosis included the following conditions: cardiomyopathy induced by physical factors, sinus node dysfunction, and sinus node weakness syndrome. After conducting necessary laboratory and instrumental investigations (ECG, echocardiography, 24-hour ECG monitoring, and exercise stress test), these conditions were excluded. The patient was discharged to outpatient care with recommendations for non-pharmacological syncope prevention.

 

About the Authors

L. A. Balykova
National Research Mordovian State University named after N.P. Ogaryov
Russian Federation

Larisa A. Balykova — MD, Dr. of Sci. (Med.), professor, associate member of Russian Academy of Sciences

Saransk



S. A. Ivyanskiy
National Research Mordovian State University named after N.P. Ogaryov
Russian Federation

Stanislav A. Ivyanskiy — MD, Cand. of Sci. (Med.), Associate Professor

Saransk



Yu. O. Soldatov
Children’s Republican Clinical Hospital
Russian Federation

Yuri O. Soldatov — MD, Cand. of Sci. (Med.), Head of the Functional Diagnostic Department

Saransk



T. S. Shablinova
Medical and sanitary Unit of the urban district of closed administrative-territorial entity Svetly
Russian Federation

Tatyana S. Shablinova — cardiologist

Saratov region



M. V. Shirmankina
National Research Mordovian State University named after N.P. Ogaryov
Russian Federation

Marina V. Shirmankina — resident

Saransk



T. M. Duvayarova
National Research Mordovian State University named after N.P. Ogaryov
Russian Federation

Tatiana M. Duvayarova — pediatrician

Saransk



D. V. Durnaikina
National Research Mordovian State University named after N.P. Ogaryov
Russian Federation

Diana V. Durnaikina — student

Saransk



Yu. S. Shabunina
National Research Mordovian State University named after N.P. Ogaryov
Russian Federation

Yulia N. Shabunina — student

Saransk



References

1. Zhang Q., Du J., Wang C., Du Z., Wang L., Tang C. The diagnostic protocol in children and adolescents with syncope: a multi-centre prospective study. Acta Paediatr. 2009;98(5):879–884. DOI: 10.1111/j.1651-2227.2008.01195.x

2. Anderson J.B., Czosek R.J., Cnota J., Meganathan K., Knilans T.K., Heaton P.C. Pediatric syncope: National Hospital Ambulatory Medical Care survey results. Emerg. Med. 2012;43(4):575–583.

3. Fischer J.W., Cho C.S. Pediatric syncope: cases from the emergency department. Emerg. Med. Clin. North Am. 2010;28(3):501–516.

4. Fant C., Cohen A. Syncope In pediatric patients: a practical approach to differential diagnosis and management in the emergency department. Pediatr. Emerg. Med. Pract. 2017;14(4):1–28.

5. Sanatani S., Chau V., Fournier A., Dixon A., Blondin R., Sheldon R.S. Canadian cardiovascular society and canadian pediatric cardiology association position statement on the approach to syncope in the pediatric patient. Can. J. Cardiol. 2017;33(2):189–198. DOI: 10.1016/j.cjca.2016.09.006

6. Massin M.M., Bourguignont A., Coremans C., Comté L., Lepage P., Gérard P. Syncope in pediatric patients presenting to an emergency department. The Journal of pediatrics. 2004;145(2):223–228. DOI: 10.1016/j.jpeds.2004.01.048

7. Shen W.K., Sheldon R.S., Benditt D.G. et al. 2017 ACC/AHA/ HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society. Circulation. 2017;136(16):271–272. DOI: 10.1161/CIR.0000000000000499

8. Zavala R, Metais B, Tuckfi eld L, DelVecchio M, Aronoff S. Pediatric Syncope: A Systematic Review. Pediatr. Emerg. Care. 2020;36(9):442–445. DOI: 10.1097/PEC.0000000000002149

9. Brignole M., Moya A., de Lange F.J., Deharo J.C., Elliott P.M., Fanciulli A., Fedorowski A., Furlan R., Kenny R.A., Martín A., Probst V., Reed M.J., Rice C.P., Sutton R., Ungar A., van Dijk J.G. ESC Scientific Document Group. Practical Instructions for the 2018 ESC Guidelines for the diagnosis and management of syncope. Eur. Heart J. 2018;39(21):43–80. DOI: 10.1093/eurheartj/ehy071

10. Yang J., Zhu L., Chen S., Li X., Zhang Q., Zhang F., Chen L., Tang C., Du J., Jin H. Modifi ed Calgary score in differential diagnosis between cardiac syncope and postural orthostatic tachycardia syndromeassociated syncope in children. Cardiol. Young. 2013;23(3):400– 404. DOI: 10.1017/S1047951112001266

11. Colivicchi F., Ammirati F., Santini M. Epidemiology and prognostic implications of syncope in young competing athletes. Eur. Heart J. 2004;25(19):1749–1753. DOI: 10.1016/j.ehj.2004.07.011

12. Makarov L.M., Komolyatova V.N., Kiseleva I.I., Aksenova N.V., Bes portochnyi D.A., Balykova L.A., Parshina T.S. Epidemiology of the syncope in children and adolescents in elite sport (EPISODE-S research). Russian Bulletin of Perinatology and Pediatrics. 2019;64(6): 62–67. (In Russian). DOI: 10.21508/1027-4065-2019-64-6-62-67

13. Schnell F., Behar N., Carré F. Long-QT Syndrome and Competitive Sports. Arrhythm. Electrophysiol. Rev. 2018;7(3):187–192. DOI: 10.15420/aer.2018.39.3

14. Eichhorn C., Bière L., Schnell F., Schmied C., Wilhelm M., Kwong R.Y., Gräni C. Myocarditis in Athletes Is a Challenge: Diagnosis, Risk Stratification, and Uncertainties. JACC Cardiovasc. Imaging. 2020;13(2 Pt 1):494–507. DOI: 10.1016/j.jcmg.2019.01.039

15. Mascia G., Crotti L., Groppelli A., Canepa M., Merlo A.C., Benenati S., Di Donna P., Della Bona R., Soranna D., Zambon A., Porto I., Olivotto I., Parati G., Brignole M., Cecchi F. Syncope in hypertrophic cardiomyopathy (part I): An updated systematic review and meta-analysis. Int. J. Cardiol. 2022;357:88–94. DOI: 10.1016/j.ijcard.2022.03.028

16. Norrish G., Cantarutti N., Pissaridou E., Ridout D.A., Limongelli G., Elliott P.M., Kaski J.P. Risk factors for sudden cardiac death in childhood hypertrophic cardiomyopathy: A systematic review and meta-analysis. Eur. J. Prev. Cardiol. 2017;24(11):1220–1230. DOI: 10.1177/2047487317702519

17. Corrado D., van Tintelen P.J., McKenna W.J. et al. Arrhythmogenic right ventricular cardiomyopathy: evaluation of the current diagnostic criteria and differential diagnosis. Eur. Heart J. 2020;41(14):1414– 1429. DOI: 10.1093/eurheartj/ehz669


Review

For citations:


Balykova L.A., Ivyanskiy S.A., Soldatov Yu.O., Shablinova T.S., Shirmankina M.V., Duvayarova T.M., Durnaikina D.V., Shabunina Yu.S. Syncope in children and adolescents in sports medicine. Clinical Medicine (Russian Journal). 2024;102(3):268-272. (In Russ.) https://doi.org/10.30629/0023-2149-2024-102-3-268-272

Views: 444


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)