Author/Editor		Kanič, Zlatka; Miksić, Mirjana
Title		Kdaj nas mora sinkopa pri otroku skrbeti?
Translated title		When should we be concerned about syncope in a child?
Type		članek
Source		In: Gregorič A, editor. Bolečine v trebuhu pri otrocih, Sinkopa pri otrocih, Ustno zdravje otrok in mladostnikov. Zbornik 18. srečanje pediatrov in 5. srečanje medicinskih sester; 2008 apr 11-12; Maribor. Maribor: Univerzitetni klinični center,
Publication year		2008
Volume		str. 113-6
Language		slo
Abstract		Syncope is a frequent occurrence in children. For the child and those around him it represents an alarming situation, despite the fact that most syncopes are not dangerous for the child. This presentation deals with the types of syncope and similar conditions. It describes the initial approach to the patient and the possible differential diagnoses. Warning signs of possibly significant syncope are syncope in the supine position or during exertion, palpitations, or convulsions before the onset of the syncope. Involuntary defecation or micturition while unconscious, neurological deficit following loss of consciousness, prolonged Ioss of consciousness, recurrent syncopes and a family history of heart disease are also important. The presence of a murmur and cardiac arrhythmia in a child with syncope indicate a possible cardiac cause. Children with syncope and such data require more extensive management and referral for further subspecialist management.
Summary		Sinkopa je pri otrocih pogost dogodek. Zanj in za okolico predstavlja alarmantno stanje, čeprav večina sinkop za otroka ni nevarnih. Prispevek obravnava vrste sinkop in njim podobna stanja. Opisuje začetni pristop k bolniku in diferencialno diagnostične možnosti. Na morebitno pomembno sinkopo opozarja sinkopa nastala v ležečem položaju ali med naporom, razbijanje srca ali krči pred nastopom sinkope. Tudi nehoteno odvajanje blata ali urina med nezavestjo, nevrološki izpadi po njej, dolgotrajna nezavest in ponavljajoče se sinkope ter družinska obremenjenost z boleznijo na srcu so pomembni. Šum in motnje srčnega ritma pri otroku s sinkopo in takimi podatki potrebujejo obširnejšo obravnavo in napotitev na nadaljnjo subspecialistično obravnavo.
Descriptors		SYNCOPE DIAGNOSIS, DIFFERENTIAL CHILD