Syncope history and symptoms: Difference between revisions

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{{CMG}} {{AE}} {{Sahar}}
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==Overview==
==Overview==
Syncope itself is a [[symptom]]. [[Patients]] with syncope may feel balcking out, [[dizziness]], [[lightheadedness]], and temporary [[loss of consciousness]]. [[Patients]] may experience other [[symptoms]] based on the underlying [[causes]] of the syncope.
Syncope itself is a [[symptom]]. [[Patients]] with syncope may feel balcking out, [[dizziness]], [[lightheadedness]], and temporary [[loss of consciousness]]. [[Patients]] may experience other [[symptoms]] based on the underlying [[causes]] of the syncope.  
==History and Symptoms==
==History and Symptoms==
Syncope itself is a [[symptom]]. [[Patients]] with syncope may feel:<ref name="pmid30804064">{{cite journal| author=Chen M, Jamnadas-Khoda J, Broadhurst M, Wall M, Grünewald R, Howell SJL et al.| title=Value of witness observations in the differential diagnosis of transient loss of consciousness. | journal=Neurology | year= 2019 | volume= 92 | issue= 9 | pages= e895-e904 | pmid=30804064 | doi=10.1212/WNL.0000000000007017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30804064  }} </ref>
Syncope itself is a [[symptom]]. [[Patients]] with syncope may feel:<ref name="pmid30804064">{{cite journal| author=Chen M, Jamnadas-Khoda J, Broadhurst M, Wall M, Grünewald R, Howell SJL et al.| title=Value of witness observations in the differential diagnosis of transient loss of consciousness. | journal=Neurology | year= 2019 | volume= 92 | issue= 9 | pages= e895-e904 | pmid=30804064 | doi=10.1212/WNL.0000000000007017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30804064  }} </ref><ref name="WielingThijs2009">{{cite journal|last1=Wieling|first1=W.|last2=Thijs|first2=R. D.|last3=van Dijk|first3=N.|last4=Wilde|first4=A. A. M.|last5=Benditt|first5=D. G.|last6=van Dijk|first6=J. G.|title=Symptoms and signs of syncope: a review of the link between physiology and clinical clues|journal=Brain|volume=132|issue=10|year=2009|pages=2630–2642|issn=0006-8950|doi=10.1093/brain/awp179}}</ref><ref name="Alboni2002">{{cite journal|last1=Alboni|first1=P|title=Haemodynamic changes early in prodromal symptoms of vasovagal syncope|journal=Europace|volume=4|issue=3|year=2002|pages=333–338|issn=10995129|doi=10.1053/eupc.2002.0241}}</ref>


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| align="center" style="background: #4479BA; color: #FFFFFF |'''History Findings'''
| align="center" style="background: #4479BA; color: #FFFFFF |'''History Findings'''
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| rowspan="5" |Syncope due to orthostatic hypotension
| rowspan="5" |'''Syncope due to [[orthostatic hypotension]]'''
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* Usually after standing up
* Usually after standing up
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|-
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* In relation to a change in the dosage of anti hypertensive drugs
* In relation to a change in the dosage of [[antihypertensive]] drugs


*
*
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|-
|-
|
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* History of peripheral neuropathy, diabetes, Parkinsonism
* History of [[peripheral neuropathy]], [[diabetes]], [[Parkinsonism]]
|-
|-
| rowspan="4" |Cardiovascular syncope
| rowspan="4" |'''[[Cardiovascular]] syncope'''
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*Presence of known structural heart disease
*Presence of known [[structural heart disease]]


*
*
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|
|
*
*
*A family history of sudden death or channelopathy
*A family history of [[sudden death]] or channelopathy


*
*
|-
|-
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*Syncope preceded by palpitation
*Syncope preceded by [[palpitation]]


*
*
|+
|+
| rowspan="8" |Neurally-mediated syncope
| rowspan="8" |'''Neurally-mediated syncope'''
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* No known history of heart disease
* No known history of [[heart disease]]


*
*
|-
|-
|Recurrent episodes of syncope
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* Recurrent episodes of syncope


*
*
|-
|-
|Syncope associated with nausea and vomiting
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* Syncope associated with [[nausea and vomiting]]


*
*
|-
|-
|Occurs after sudden, unexpected sight, smell, emotional situation
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*Occurs after sudden, unexpected sight, smell, emotional situation


*
*
|-
|-
|Standing for a long time especially in a hot, crowded place
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*Standing for a long time especially in a hot, crowded place
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|-
|During or after a meal
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*During or after a meal
|-
|-
|With a change in head position or pressure on carotid sinus
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*With a change in head position or pressure on the [[carotid sinus]]
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|-
|After exertion
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*After exertion
|}
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
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[[Category:Nutrition]]
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[[Category:Metabolic disorders]]
[[Category:Metabolic disorders]]
[[Category:Primary care]]
[[Category:Needs overview]]
[[Category:Needs overview]]
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Latest revision as of 00:21, 30 July 2020

Syncope Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Syncope from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

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Electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Syncope itself is a symptom. Patients with syncope may feel balcking out, dizziness, lightheadedness, and temporary loss of consciousness. Patients may experience other symptoms based on the underlying causes of the syncope.

History and Symptoms

Syncope itself is a symptom. Patients with syncope may feel:[1][2][3]

Patients may experience other symptoms based on the underlying causes of the syncope. The table below demonstrates the important history findings of different type of syncope:

Subtype History Findings
Syncope due to orthostatic hypotension
  • Usually after standing up
  • Standing for a long time especially in a hot, crowded place
  • Standing after exertion
Cardiovascular syncope
  • Occurs during exertion or supine
Neurally-mediated syncope
  • Recurrent episodes of syncope
  • Occurs after sudden, unexpected sight, smell, emotional situation
  • Standing for a long time especially in a hot, crowded place
  • During or after a meal
  • After exertion

References

  1. ↑ Chen M, Jamnadas-Khoda J, Broadhurst M, Wall M, Grünewald R, Howell SJL; et al. (2019). "Value of witness observations in the differential diagnosis of transient loss of consciousness". Neurology. 92 (9): e895–e904. doi:10.1212/WNL.0000000000007017. PMID 30804064.
  2. ↑ Wieling, W.; Thijs, R. D.; van Dijk, N.; Wilde, A. A. M.; Benditt, D. G.; van Dijk, J. G. (2009). "Symptoms and signs of syncope: a review of the link between physiology and clinical clues". Brain. 132 (10): 2630–2642. doi:10.1093/brain/awp179. ISSN 0006-8950.
  3. ↑ Alboni, P (2002). "Haemodynamic changes early in prodromal symptoms of vasovagal syncope". Europace. 4 (3): 333–338. doi:10.1053/eupc.2002.0241. ISSN 1099-5129.

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