Author/Editor		Rener-Primec, Zvonka; Mazić, Uroš
Title		Sinkopa
Translated title		Syncope
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 37, št. Suppl 4
Publication year		1998
Volume		str. 290-6
Language		slo
Abstract		Syncope in childhood and adolescence is usually benign event. In most cases a diagnosis can be established by good historytaking, and costly evaluations are rarely necessary in cases of cardiogenic or unknown syncope. In early childhood cardioinhibitory syncope is most frequent (breath-holding spells or reflex anoxic seizures), later vasovagal, vasodepressor or mixed forms predominate. Establishing a diagnosis on the basis of known mechanisms is important: preventive measures and counseling is beneficial in benign forms, but cardiogenic or unknown cases need complete evaluation and appropriate treatment.
Summary		Sinkopa je v otroštvu in v dobi odraščanja običajno benigen fenomen. Z natančno anamnezo in pregledom postavimo diagnozo v večini primerov, redko so potrebne dodatne preiskave pri sumu na kardiogeno sinkopo in pri nepojasnjeni sinkopi. V zgodnjem otroštvu so najpogostejše kardioinhibitorne sinkope (afektni napadi ali zamolko- vanja), kasneje pa vazodepresorne in vazovagalne sinkope ali kombinirane oblike. Prepoznavanje osnovnega mehanizma in postavitev diagnoze sta pomembna zaradi pristopa k zdravljenju: svetovanje o preprečevalnih ukrepih večinoma zadošča za preprečevanje pogostih epizod, le pri kardiogeni sinkopi je nujno ustrezno zdravljenje z zdravili ali vstavitev srčnega spodbujevalnika.
Descriptors		SYNCOPE CHILD SYNCOPE, VASOVAGAL HYPOTENSION, ORTHOSTATIC