Syncope in children and adolescents in sports medicine

Abstract

The clinical case of a neuro-mediated syncope episode in a sports-active adolescent is presented. The differential diagnosis included the following conditions: cardiomyopathy induced by physical factors, sinus node dysfunction, and sinus node weakness syndrome. After conducting necessary laboratory and instrumental investigations (ECG, echocardiography, 24-hour ECG monitoring, and exercise stress test), these conditions were excluded. The patient was discharged to outpatient care with recommendations for non-pharmacological syncope prevention.