Most episodes of loss of consciousness (syncope) in pediatric patients are due to low blood pressure. However, it is important to make sure there is not a cardiac cause of syncope. As part of the Heart Institute at Cincinnati Children’s, the Syncope Clinic is a leading program for evaluating and treating syncope.

Problems we treat

We evaluate and care for cardiac-focused syncope that may be due to previously undiagnosed structural heart disease; heart rhythm abnormalities including congenital long QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia or other channelopathies (hereditary disorders of the heart’s electrical system); and supraventricular tachycardia, including Wolff-Parkinson-White syndrome.

We also evaluate and manage the most common causes for pediatric syncope including neutrally mediated hypotension (low blood pressure), and postural orthostatic tachycardia syndrome (dysautonomia / increased heart rate).

What to Expect During Your First Visit

We will evaluate your child’s heart rhythm using an electrocardiogram (EKG). Our pediatric cardiac specialist team: a doctor, nurse practitioner, and nurses who specialize in assessing, diagnosing, and treating syncope, will use the results of your child’s history and physical, orthostatic vital signs, and EKG to determine the best course of treatment for your child. Further testing including laboratory testing, exercise stress testing, or an echocardiogram may be indicated based on the initial evaluation and findings.