Paroxysmal AV block history and symptoms: Difference between revisions
Jump to navigation
Jump to search
Homa Najafi (talk | contribs) No edit summary |
|||
| Line 11: | Line 11: | ||
==History and Symptoms== | ==History and Symptoms== | ||
* | *History of syncope, presyncope, duration of each episode, number of episodes, activities during the syncopal episode, aggravating or relieving factors, history of past medical illnesses, prodrome/ recovery phase description in terms of signs, symptoms and duration are '''important points to be addressed whilst taking a history of a syncope patient'''. | ||
*A study of 341 syncope patients showed that the time between the first and last syncopal episode being less than 4 years, syncope during effort or supine position, a history of palpitations, convulsions or blurring of vision were '''important predictors of a cardiac syncope'''. | |||
* | *Similarly, duration of prodrome > 10 seconds history of pallor, nausea, diaphoresis, dizziness, presyncope, abdominal discomfort and time between first and last syncopal episode being more than 4 years were '''important predictors of a neutrally mediated syncope'''.<ref name="pmid11401133">{{cite journal |vauthors=Alboni P, Brignole M, Menozzi C, Raviele A, Del Rosso A, Dinelli M, Solano A, Bottoni N |title=Diagnostic value of history in patients with syncope with or without heart disease |journal=J. Am. Coll. Cardiol. |volume=37 |issue=7 |pages=1921–8 |date=June 2001 |pmid=11401133 |doi=10.1016/s0735-1097(01)01241-4 |url=}}</ref> | ||
*Based on a detailed history, one can decide whether a cardiac syncope was secondary to a rhythm dysfunction, structural cause or ischemia related and would warrant a work up of an '''ECG, Holter monitoring, echocardiography, electrophysiologic study, or an exercise stress test'''. <ref name="pmid11401133">{{cite journal |vauthors=Alboni P, Brignole M, Menozzi C, Raviele A, Del Rosso A, Dinelli M, Solano A, Bottoni N |title=Diagnostic value of history in patients with syncope with or without heart disease |journal=J. Am. Coll. Cardiol. |volume=37 |issue=7 |pages=1921–8 |date=June 2001 |pmid=11401133 |doi=10.1016/s0735-1097(01)01241-4 |url=}}</ref> | |||
=== | *Similarly, neutrally mediated syncope maybe vasovagal, situational, secondary to increased carotid sinus sensitivity or non classical and orthostatic hypotension may be due to a primary or secondary autonomic failure, secondary to drugs or hypovolemia. This may be further explored by '''a carotid sinus massage, tilt table testing, adenosine plasma levels or an adenosine triphosphate stimulation test'''.{{cite web |url=https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Syncope-Guidelines-on-Diagnosis-and-Management-of |title=ESC Guidelines on Syncope (Diagnosis and Management of) |format= |work= |accessdate=}} | ||
=== | |||
* | |||
=== | |||
==References== | ==References== | ||
Revision as of 05:50, 15 June 2020
|
Paroxysmal AV block Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Paroxysmal AV block history and symptoms On the Web |
|
American Roentgen Ray Society Images of Paroxysmal AV block history and symptoms |
|
Risk calculators and risk factors for Paroxysmal AV block history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
- History of syncope, presyncope, duration of each episode, number of episodes, activities during the syncopal episode, aggravating or relieving factors, history of past medical illnesses, prodrome/ recovery phase description in terms of signs, symptoms and duration are important points to be addressed whilst taking a history of a syncope patient.
- A study of 341 syncope patients showed that the time between the first and last syncopal episode being less than 4 years, syncope during effort or supine position, a history of palpitations, convulsions or blurring of vision were important predictors of a cardiac syncope.
- Similarly, duration of prodrome > 10 seconds history of pallor, nausea, diaphoresis, dizziness, presyncope, abdominal discomfort and time between first and last syncopal episode being more than 4 years were important predictors of a neutrally mediated syncope.[1]
- Based on a detailed history, one can decide whether a cardiac syncope was secondary to a rhythm dysfunction, structural cause or ischemia related and would warrant a work up of an ECG, Holter monitoring, echocardiography, electrophysiologic study, or an exercise stress test. [1]
- Similarly, neutrally mediated syncope maybe vasovagal, situational, secondary to increased carotid sinus sensitivity or non classical and orthostatic hypotension may be due to a primary or secondary autonomic failure, secondary to drugs or hypovolemia. This may be further explored by a carotid sinus massage, tilt table testing, adenosine plasma levels or an adenosine triphosphate stimulation test."ESC Guidelines on Syncope (Diagnosis and Management of)".