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His symptoms were attributed to stress\/anxiety by both the examining physicians as well as the parents because repeated clinical evaluation including 12-lead ECG done three times and echocardiography were normal. Fortunately the sixth time, the diagnosis was clinched on an ECG when he presented to the paediatrician with tachycardia and hypotension.<\/jats:p>","DOI":"10.1136\/bcr.10.2011.4902","type":"journal-article","created":{"date-parts":[[2011,12,2]],"date-time":"2011-12-02T19:40:52Z","timestamp":1322854852000},"page":"bcr1020114902","source":"Crossref","is-referenced-by-count":1,"title":["An unusual cause of school refusal"],"prefix":"10.1136","volume":"2011","author":[{"given":"Zafar","family":"Meenai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nupur","family":"Sarkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2011,12,1]]},"reference":[{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.1","doi-asserted-by":"publisher","DOI":"10.1017\/S0021963099004333"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2007.07.012"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.3","doi-asserted-by":"publisher","DOI":"10.1136\/adc.73.6.557"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.4","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410360217"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.5","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1990.00530070058012"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01940-X"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.7","doi-asserted-by":"publisher","DOI":"10.1053\/eupc.2001.0155"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.8","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(06)70350-7"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.9","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1016\/S0140-6736(57)92147-5","article-title":"Electro-encephalographic study of syncope; its differentiation from epilepsy.","volume":"273","author":"Gastaut","year":"1957","journal-title":"Lancet"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.10","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1962.04210030057008"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.11","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-108-6-791"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.12","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1600-0404.1983.tb04814.x","article-title":"Cardiac conduction disturbances during carbamazepine therapy","volume":"68","author":"Boessen","year":"1983","journal-title":"Acta Neurol Scand"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.13","first-page":"754","article-title":"Advanced heart block aggravated by carbamazepine","volume":"i","author":"Beerman","year":"1977","journal-title":"Br Heart J"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.14","first-page":"87","article-title":"[Cardiac syncope in children].","volume":"64 Suppl 3","author":"Oko-Lagan","year":"2007","journal-title":"Prz Lek"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.15","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900202"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.16","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490180085031"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.17","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03330100023024"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.18","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198307283090401"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.19","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90913-5"},{"key":"2025082703215054000_2011.nov28_1.bcr1020114902.20","first-page":"22","article-title":"Diagnostic dilemma of cardiac syncope in pediatric patients.","volume":"8","author":"Hegazy","year":"2008","journal-title":"Indian Pacing Electrophysiol J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.10.2011.4902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:21:59Z","timestamp":1756290119000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.10.2011.4902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12,1]]},"references-count":20,"alternative-id":["10.1136\/bcr.10.2011.4902"],"URL":"https:\/\/doi.org\/10.1136\/bcr.10.2011.4902","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12,1]]}}}