Predictor of Syncopal Recurrence in Children With Vasovagal Syncope Treated With Metoprolol.

children metoprolol predictor syncopal recurrence vasovagal syncope

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2022
Historique:
received: 07 02 2022
accepted: 15 03 2022
entrez: 25 4 2022
pubmed: 26 4 2022
medline: 26 4 2022
Statut: epublish

Résumé

To explore the predictors for syncopal recurrence in a pediatric population with vasovagal syncope (VVS) treated with metoprolol. This study was conducted retrospectively among children suffering from VVS with or without syncopal recurrence. Data on the detailed medical history and auxiliary examinations were obtained from the electronic medical records. The risk factors for syncopal recurrence were studied by cox regression analyses and the corresponding best cutoff values were determined using receiver operating characteristic analysis. Kaplan-Meier curves were plotted to determine the trends of the syncopal recurrence-free survival rate. Forty-two consecutive VVS children were enrolled in the study. At the end of a median follow-up duration of 9.0 (4.8, 19.1) months, 12 patients (29%) experienced ≥1 syncopal episode. Cox regression analyses revealed that the number of previous syncopal episodes before treatment was a risk factor for syncopal recurrence (hazard ratio = 1.027, 95% confidence interval 1.009 - 1.045, In a pediatric population with VVS while on the treatment of metoprolol, the number of previous syncopal episodes before treatment played a significant role in predicting syncopal recurrence.

Identifiants

pubmed: 35463909
doi: 10.3389/fped.2022.870939
pmc: PMC9024146
doi:

Types de publication

Journal Article

Langues

eng

Pagination

870939

Informations de copyright

Copyright © 2022 Tao, Xu, Liao, Li, Jin and Du.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Chunyan Tao (C)

Department of Pediatrics, Peking University First Hospital, Beijing, China.
Department of Genetics and Endocrinology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Bowen Xu (B)

Department of Pediatrics, Peking University First Hospital, Beijing, China.

Ying Liao (Y)

Department of Pediatrics, Peking University First Hospital, Beijing, China.

Xueying Li (X)

Department of Statistics, Peking University First Hospital, Beijing, China.

Hongfang Jin (H)

Department of Pediatrics, Peking University First Hospital, Beijing, China.
Key Laboratory of Molecular Cardiovascular Sciences, Ministry of China, Beijing, China.

Junbao Du (J)

Department of Pediatrics, Peking University First Hospital, Beijing, China.
Key Laboratory of Molecular Cardiovascular Sciences, Ministry of China, Beijing, China.

Classifications MeSH