Syncope in the adolescent.

Abstract

Syncope in the adolescent is a common dilemma and can be frightening to patients, families, and physicians. An evidence-based approach to the evaluation of syncope in the adolescent is presented, with the emphasis on neurally mediated syncope (NMS). NMS does not actually lead to the youth's death; however, leaving such adolescents in unprotected situations (e.g., swimming or driving) can lead to considerable danger. Also, recurrent episodes of NMS have been shown to be associated with diverse psychosocial difficulties, either as a cause or a consequence of them.