The healthcare provider will ask about your child’s symptoms and health history. He or she will give your child a physical exam. Helpful details you can provide include answers to these questions:
- How often does syncope occur?
- What your child was doing before the syncope?
your child have any symptoms before the syncope?
- What did
he or she eat before the syncope?
happened during and after the syncope? Was there any loss of bowel or bladder
- Was the syncope witnessed?
- How long did the period of loss of conscious persist after syncope?
provider will check your child's blood pressure and heart rate. Your child’s blood
pressure is usually checked more than once in different positions. It may be taken while
your child is lying down, sitting, and standing. The provider will look for changes in
blood pressure that occur with orthostatic hypotension.
Often your child will not need any tests. If your child's provider thinks there may be a serious problem, he or she may refer you to a pediatric cardiologist. This is a doctor with special training to treat heart problems in children. He or she may order tests, such as:
Electrocardiogram (ECG). This test records the electrical activity of the
heart. It shows any abnormal rhythms (arrhythmias).
Tilt table test. This test checks a child's blood pressure and heart rate while he or she is in different positions.
monitor. This test uses a portable monitor that your child wears for 24 hours
or longer. It's used to evaluate irregular, fast, or slow heart rhythms while your
child does his or her normal activities, even while away from the provider's
Echocardiogram (echo). This test studies the heart's function. It uses sound waves (ultrasound) to make a moving picture of the heart and heart valves, pumping function, and blood flow through the heart.