Özet:

Purpose: Illumination of the diagnosis and etiologies of the facts referred to with the syncopic approach to the child's cardiology clinic, the laboratory studies conducted in this direction, the study of the relationship with the etiology of the findings of the self-covered anamnese and physical examination. Tools and Methods: 67 cases that appeal to our clinic between March 2017 and October 2017 were included with the approximation of the sync to the study. Detailed anamnesis of the cases, the findings of the physical examination were recorded. In addition, the results were recorded by assessing the electrocardiography and ecocardiography of all the facts. Patients were required to have chronic screening and EEG. These data included vasovagal syncope, postural ortostatic tachycardia syndrome, ortostatic hypotension, epilepsy, hysteric stroke, participation stroke, syncope diagnoses associated with exercise. The SPSS 22.0 program was used in the analysis. Results: In total, 67 were mature, 41 were girls (61.2 percent), 26 were men (38.8 percent), the average age was 11.7±2.5 years (2.5 to 17 years). In 64.2 percent of cases, breathing during or after an attack, 34.3 percent illness, 32.8 percent swelling and melting in the limbs, 31.3 percent breathing cuts, 20.9 percent accompanied stroke, 20.9 percent epigastric discomfort, 17.9 percent sweat, and 7.5 percent breast pain accompanied prodromal symptoms. In 68.7 percent of cases vasovagal syncope (VVS), 9 percent postural ortostatic tachycardia syndrome (POTS), 7 percent. 5 people were diagnosed with epilepsy, 4.5 percent with hysteric attacks, 4.5 percent with ortostatic hypotension (OH), 3 percent with exercise-related syncope and 3 percent with participation attacks. The symptoms of Vazovagal sincopic diagnosis were closed with measures. No pathological findings were found in any of the cases during physical examination. In 6% of these cases, the history of drug use, in 14.9% positive findings in EKO, in 3% cranial MR findings, in 1.5%, an abnormality in EEG was found. The effect of gender factor on syncopic etiology was not observed. The result: Priority treatment method in children with vasovagal syncope is the increase in the intake of fluids and salt with training and advice. Although vasovagal syncops are frequently observed in etiology, other causes that may cause syncops should be carefully evaluated. The effect is limited when beta-blocker therapy is tested in patients with reverse sincopic attacks. Therefore; repetitive vasovagal syncopic patients who cannot be controlled by training and recommendations can be tested with drug treatment.

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