Faints (Syncope) Evaluation & Management
Consultant Paediatrician & Cardiac Imaging Specialist
MBBS, FRCPCH, EACVI (Cardiac Imaging)
Unexpected episodes of fainting (syncope) can be frightening for both children and parents. At Dr Neeraj Jain’s practice, we specialise in comprehensive assessment and tailored management of paediatric syncope—ensuring that every fainting spell is thoroughly investigated, the underlying cause identified, and the right treatment plan put in place.
What Is Paediatric Syncope (“Faints”)?
Syncope refers to a brief loss of consciousness caused by a temporary reduction in blood flow to the brain. In children and adolescents, fainting can arise from a variety of triggers—from benign reflex responses (vasovagal syncope) to more serious cardiac arrhythmias or structural heart disease. Our goal is to distinguish harmless episodes from those needing urgent intervention.
When to Seek Specialist Assessment
You should consider referral to a paediatric cardiologist if your child experiences:
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One or more unexplained fainting episodes, especially with minimal warning
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Faints during exertion, exercise, or competitive sports
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Palpitations, chest pain, dizziness or shortness of breath preceding the episode
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Family history of sudden cardiac death, inherited arrhythmias or cardiomyopathy
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Abnormal findings on school ECG screening or physical examination
Our Diagnostic Approach
Echocardiography & Advanced Imaging
Ultrasound, MRI or CT angiography to rule out structural abnormalities or cardiomyopathies when indicated.
Detailed Clinical History & Physical Exam
We explore the fainting context—position (standing, sitting), triggers (heat, pain, dehydration), prodrome symptoms, and family history.
Exercise Stress
Testing
Supervised treadmill or bicycle protocols to uncover exertional syncope triggers, with continuous ECG and blood-pressure monitoring.
Electrocardiogram (ECG)
A resting 12-lead ECG to detect rhythm disturbances (e.g., long QT syndrome, Brugada pattern) or conduction blocks.
Holter & Event Monitoring
Wearable recorders capture intermittent arrhythmias over 24–72 hours (Holter) or longer-term (event recorder) if episodes are infrequent.
Tilt-Table Testing
Controlled tilt-table provocation to reproduce and characterise vasovagal syncope or orthostatic intolerance.
Conditions We Differentiate
Vasovagal (Reflex) Syncope
The most common benign cause, often triggered by pain, emotion or prolonged standing.
Orthostatic Hypotension
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Blood-pressure drop on standing due to autonomic dysfunction or dehydration.
Cardiac Arrhythmias
Supraventricular tachycardia, long QT syndrome, catecholaminergic polymorphic ventricular tachycardia (CPVT).
Structural Heart Disease
Hypertrophic cardiomyopathy, anomalous coronary artery, myocarditis.
Neurological & Metabolic Causes
Seizure disorders, hypoglycaemia—identified and managed in collaboration with neurology or endocrinology if needed.
Why Choose Dr Jain for Syncope Care?
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Specialised Paediatric Expertise
Dual training in paediatrics and cardiac imaging ensures both broad and deep insight into fainting causes. -
Child-Friendly Testing
Gentle, minimally invasive diagnostics in a calming environment to reduce anxiety. -
Comprehensive Pathway
From initial evaluation through to long-term follow up and safe transition to adult services if required. -
Clear Communication
We provide concise, jargon-free explanations, written care plans, and 24/7 access to advice for urgent concerns. -
Convenient Clinics & Virtual Options
In-person assessments at Buckhurst Hill, Spire London East, and Spire Hartswood—with telehealth follow-ups for established families.
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Q: Is tilt-table testing safe for my child?A: Yes. It’s performed under close medical supervision with continuous monitoring. While it can induce fainting in controlled conditions, staff are ready to return your child to a flat position immediately and safely.
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Q: Can my child continue to play sports?A: After evaluation, we’ll advise on safe participation. Many children with benign syncope continue sports with simple precautions. Those with exercise-induced arrhythmias may need specific restrictions until treated.
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Q: How long does the evaluation take?A: An initial cardiology consultation lasts about 45–60 minutes. Depending on findings, diagnostic tests may be scheduled on the same day or at follow-up visits.
Book an Appointment
When it comes to your child’s heart health, prompt, expert care makes all the difference.
Call 07424 794298 or email info@cardiopaediatrician.com to arrange your consultation.
You can also use the Book an Appointment button below to reserve your slot online.