Interpretation of guidelines for the diagnosis and treatment of neurally mediated syncope in children and adolescents (revised 2024)
10.3760/cma.j.cn101070-20241116-00752
- VernacularTitle:《儿童青少年自主神经介导性晕厥诊断与治疗指南(2024修订)》解读
- Author:
Runmei ZOU
1
;
Cheng WANG
1
Author Information
1. 中南大学湘雅二医院儿童医学中心儿童心血管专科，长沙 410011
- Publication Type:Journal Article
- Keywords:
Child;
Adolescent;
Neurally mediated syncope;
Diagnosis;
Treatment;
Guideline interpretation
- From:
Chinese Journal of Applied Clinical Pediatrics
2025;40(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
This revised guideline incorporates recent advances in neurally mediated syncope (NMS) in children, providing a timely update to the " 2018 CPCS Guidelines for Diagnosis and Treatment of Syncope in Children and Adolescents" . In the spectrum of NMS-related disorders and diagnosis, this revision includes additional postural tests, introduces the new concept of sitting tachycardia syndrome and sitting hypertension, and emphasizes the diagnosis and assessment of comorbidities.The clinical diagnosis of NMS in children and adolescents requires a combination of detailed history taking, thorough physical examination, correct interpretation of postural tests results, and comprehensive assessment of comorbidities.In terms of treatment, detailed recommendations are given for non-pharmacological therapy, emphasizing the use of biomarkers to guide individualized treatment and the management of comorbidities.The revised guideline also provides specific recommendations for follow-up and outcome assessment of NMS in children and adolescents.
