# Exertional syncope in children needs medical evaluation, says doctor 2026-09-23T22:26:33+00:00 | Health & Science | Indian Opinion Desk Corroboration: 1 independent outlet Most fainting spells in children are harmless, but a child who collapses during running, sports or vigorous activity needs a medical check-up. Dr. Ashish Katewa explains that exertional syncope can signal an underlying heart condition, even if the child seems healthy otherwise. Warning signs include collapse during exercise accompanied by chest pain, shortness of breath, palpitations, or a family history of sudden unexplained death or inherited heart disease. Evaluation typically starts with a detailed history, an ECG, and may include an echocardiogram or exercise stress test. ## Indian Opinion Analysis The distinction between benign vasovagal syncope and exertional syncope is critical because cardiac causes, though rare, can be life-threatening. Hypertrophic cardiomyopathy and Long QT Syndrome are among the conditions that may first present as fainting during sport. Parents often attribute such episodes to dehydration or exhaustion, delaying care. The key next step for any child who collapses during play is a paediatric cardiology referral for an ECG and, if indicated, an echocardiogram. This evaluation can rule out structural or electrical heart abnormalities before serious events occur. ## Coverage - news.abplive.com Tags: Dr. Ashish Katewa, syncope Canonical: https://indianopinion.org/exertional-syncope-in-children-needs-medical-evaluation-says-doctor/ License: Summary and commentary (c) Indian Opinion, reusable with attribution. Facts belong to the linked sources. Cite: https://indianopinion.org/exertional-syncope-in-children-needs-medical-evaluation-says-doctor/#story-in-brief