The Editors of the 4th Edition of the Bangkok Medical Journal are pleased to offer readers another rich smorgasbord of diverse articles from our own doctor-authors as well as guest authors. Pediatric Syncope is looked at from both a neurological and cardiological perspective. Dr. Montri’s respective review of 126 children explores etiologies and considers the usefulness of using EEG in determining fainting caused by epilepsy. Dr. Apichai’s CME article reminds us that syncope may sometimes be the first presentation of a serious cardiac pathology, and details the conditions as well as the indications for investigative work ups. Another cardiac offering, a case report by Dr. Kumpanart highlights the importance of exercise and dietary control in secondary CAD prevention.