EVALUATION AND MANAGEMENT OF NEUROCARDIOGENIC SYNCOPE IN CHILDREN ANDADOLESCENTS

Recurrent unexplained syncope is a common and often frustrating clinic al problem in paediatrics. Over the last decade, head upright tilt tab le testing has emerged as an important diagnostic method for the ident ification of patients whose syncope is likely to be neurocardiogenic i n origin. At the same time, tilt fable testing, by providing syncopal episodes in a controlled setting, has allowed for a greater understand ing of their physiopathology. Treatment strategies remain controversia l but P-blocker therapy appears to be very efficient. (C) 1998, Elsevi er, Paris.