Since December 2019, the outbreak of SARS-CoV-2 in WuHan, HuBei province, has spread to the whole country and abroad. As a susceptible population, the number of children and adolescents is increasing day by day. Under the severe situation of epidemic prevention and control, pediatric department has successively launched the expert consensus and treatment recommendations on the prevention and control of novel coronavirus pneumonia (COVID-19) in related fields. Syncope is a common emergency in children and adolescents, recurrent syncope seriously affects the quality of life and mental health of children. It is difficult for children with syncope to seek medical treatment during the epidemic period. This paper puts forward some suggestions on the rehabilitation of children and adolescents with syncope during the epidemic period.
Since December 2019, an outbreak of new coronavirus (SARS-CoV-2) in Wuhan, Hubei Province, China, and has now spread around the world. As a susceptible population, the number of children and adolescents is increasing day by day. Syncope is a common emergency in children and adolescents, mainly including Neurally Mediated Syncope (NMS), cardiac syncope, and unexplained syncope . Recurrent syncope can seriously affect children’s quality of life and mental health . During the epidemic period, it is difficult for children with syncope to seek medical treatment or follow up clinic. Here are some suggestions on the individual rehabilitation of children and adolescents with different types of syncope, and drug selection in the case of SARS-CoV-2 infection.
Children with syncope and their families can get individual rehabilitation and medication guidance through network consultation.
The Head-Up Tilt Test (HUTT) is an important test for children with NMS. During the epidemic period, the HUTT indication should be strictly grasped during the HUTT inspection and the reexamination should be strictly performed in accordance with the pre-screening procedure for outpatients [2,4].
Cardiac syncope in children and adolescents is mainly caused by abnormal heart structure or abnormal electrical activity. Rapid onset, high risk, prone to sudden death .
Patients with cardiac syncope caused by different reasons should be treated with different drugs. For children with cardiac syncope complicated with SARS-CoV-2 infection, pay attention to the side effects of drugs and the interaction between drugs.
Because the cause of syncope is unknown in such children, family members should accompany them to avoid individual activities when they are isolated at home. At the same time, children and adolescents are prone to fear and anxiety of the virus, resulting in mental syncope occurs. Therefore, it is necessary to provide timely psychological counseling for children. And after the epidemic, you need to see a doctor in a higher hospital as soon as possible to determine the cause .
Xin Wang and Cheng Wang conceptualized and designed the idea, drafted the initial manuscript and revised the manuscript. Haihui Xiao and Yi Xu reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of work.
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