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  • Title: [Diagnostic usefulness of Holter monitoring in pediatric fainting and syncope].
    Author: Drago F, Santilli A, Turchetta A, Pompei E, Calzolari A.
    Journal: Minerva Pediatr; 1989 May; 41(5):235-9. PubMed ID: 2796877.
    Abstract:
    The aim of the study was to assess the diagnostic efficacy of ambulatory electrocardiographic monitoring in children with a previous history of fainting and/or syncope. Sixty-one children, from 2 months to 17 years of age, all at the time undergoing different physical examinations because of previous syncopal episodes were examined. All the children had a normal electrocardiogram at rest and all underwent 24 hour electrocardiographic monitoring (Holter). The ECG was normal in 48 patients. Eight children had several dysrhythmias, classified as "borderline" and five children showed a clearly pathological trend. These results are even more significant considering that standard electrocardiogram results are negative. These data underline the diagnostic importance of the dynamic electrocardiogram particularly in cases of very frequently repeated symptoms.
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