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Micturition syncope with asystole in a paediatric patient
Mira K Trivedi1, Gaurav Arora1
1Department of Pediatric Cardiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Cardiology in the Young
|December 14, 2020
Summary
Micturition syncope, a type of situational syncope, can occur in children and may involve prolonged pauses in heart rhythm. This case highlights the youngest child diagnosed with this condition, successfully managed through behavioral changes.
Area of Science:
- Pediatrics
- Cardiology
- Neurology
Background:
- Syncope is common in pediatric populations.
- Situational syncope, including micturition syncope (fainting during urination), is a recognized cause.
- Prolonged asystolic pauses can be associated with syncope.
Purpose of the Study:
- To report the youngest known case of micturition syncope.
- To describe the presentation and management of micturition syncope with an asystolic pause in a child.
- To emphasize the importance of considering situational syncope in pediatric differential diagnoses.
Main Methods:
- Case report of a pediatric patient.
- Comprehensive neurological and cardiovascular evaluation.
- Implementation of behavioral modifications for management.
Main Results:
- The youngest child to date diagnosed with micturition syncope was identified.
- The syncope episode was associated with a prolonged asystolic pause.
- Neurological and cardiovascular evaluations yielded no additional significant findings.
- Behavioral modifications were effective in preventing recurrent syncope.
Conclusions:
- Micturition syncope can occur in young children and may present with significant cardiac pauses.
- Thorough evaluation is necessary to rule out other underlying conditions.
- Behavioral interventions can be a successful management strategy for pediatric micturition syncope.
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