Suggest treatment for syncope and dehydration in child

Posted on Mon, 8 Jun 2015 in Hypertension and Heart Disease
Question: What type of abnormal reading would a cardiologist see in an EKG that was first interpreted by the ER physician as being normal thus requiring a cardiology follow-up. Patient is 7 years old with recent history of syncope and dehydration precipitating ER visit.
Answered by Dr. Ilir Sharka 37 minutes later
Brief Answer:
There are some points to be checked.

Detailed Answer:


Thank you for asking on HCM!

Regarding your concern, I would explain that when judging the ECG results, the three main issues to be checked are, possible rhythm (a) and conductance (b) disorders, as well as potential repolarisation (c) disorders.

When facing a child patient, especially with a recent history of syncope, special attention should be paid on the direction of possible congenital cardiac disorders (some congenital long QT syndromes, or even short QT syndromes, evidence of accessory abnormal AV conductance pathways, etc).

I would recommend also, a cardiac ultrasound to assure a normal structural integrity of your nephew's heart.

If suspicions are raised about any electrical cardiac abnormalities, then additional tests would be helpful (like ambulatory ECG monitoring, etc).

Hope to have been helpful.

Feel free to ask me whenever you need. Greetings! Dr. Iliri

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
Follow up: Dr. Ilir Sharka 54 minutes later
This is a 7 year old child (granddaughter) who has been healthy. Had some type of stomach upset (w/vomiting x2) in evening-little hydration. Next morning, went with her grandmother strawberry picking, 82 degree weather, and fainted. ER doc felt dehydration triggered the fainting but ran the EKG as precautionary. He told my daughter the reading looked normal. He notified her today that cardiologist found something suspicious - she notified her pediatrician who is working with cardiologist to get appointment. I appreciate the information above. Could it take 7 years for some of these congenital diagnoses to present themselves without previous signs or symptoms?
Answered by Dr. Ilir Sharka 22 minutes later
Brief Answer:
It is possible to detect a congenital disorder even in adults.

Detailed Answer:

Hello again dear grandfather!

I hope that everything has been a joke of dehydration.

Returning to your last question, my answer is: Yes!

Sometimes, such congenital abnormalities are revealed in adult age. Everything depends on an effective screening program.

Wish a good health for you and your granddaughter.

Feel free to ask me whenever you need. Greetings!
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
Answered by
Dr. Ilir Sharka


Practicing since :2001

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