Clinical characteristics in adults and children with vasovagal syncope
10.3321/j.issn:0253-3758.2008.04.010
- VernacularTitle:儿童和成人血管迷走性晕厥的临床特征差异
- Author:
Xiao-Hong XUE
1
;
Cheng WANG
;
Ming-Xiang LI
;
Ping LIN
;
Yi-Yi DING
;
Xiao-Yan LIU
;
Chun-Yan HU
Author Information
1. 中南大学湘雅二医院
- Keywords:
Syncope,vasovagal;
Child;
Adult;
Clinical characteristics
- From:
Chinese Journal of Cardiology
2008;36(4):323-326
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics in adults and children with vasovagal syncope(VVS).Methotis Clinical data including head-up tilt table(HUTT)results were analyzed and compared in 136 children(mean age 12.3±2.7 years,50 boys,86 girls)and 119 adults(mean age 36.4±14.0 years, 29 men, 90 women)with VVS.Results (1)There were more female VVS patients in 3.1,P=0.033)in this cohort.(2)The incidence of chest distress in adults group was significantly higher than that in children group [ 45.4(54/119)vs.27.2%(37/136),P=0.003 ] while the incidence of headache[10.9%(13/119)vs.20.6%(28/136),P=0.036]and abdominal pain in children group was significantly higher than that in adults group[7.6%(9/119)vs.19.1%(26/136),P=0.008].(3)Incidences of muggy environment [22.8%(26/114)vs.12.5%(17/136),P=0.032 ]and urination VVS [9.7%(11/114)vs.1.5%(2/136),P=0.004]were significantly higher in aduhs group than those in children group.(4)The mean time of mixed response vasogal episode in adults group was significantly longer than that in children group in sublingual nitroglycerin head-up tilt table test(SNHUT)stage(5.04±2.27min vs.3.50±1.24 min,P=0.036).Conclusions The incidences of chest distress,muggy environment and urination VVS were more often and the mean time of vasogal episode of mixed response in SNHUT stage was longer in adults VVS while the incidence of abdominal pain and headache was higher in children VVS patients compared to adults VVS patients.
