Syncope medical therapy: Difference between revisions
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Created page with "__NOTOC__ {{Syncope}} {{CMG}} ==Medical Therapy== ===Urgent Treatment=== Recommended treatment is to allow the person to lie on the ground with his or her legs slightly eleva..." |
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===Cardiac Syncope=== | ===Cardiac Syncope=== | ||
:*[[Arrthymia]]: For patient whose syncope is caused by [[bradycardia]] or heart block, a [[pacemaker]] may be considerd to solve the problems. An [[implantable cardioverter defibrillator]] ([[ICD]]) may help the patient with repeated [[ventricular tachycardia]]. Sometimes, [[antiarrhythmic drug]]s may be helpful for some patients. These treatments should be ordered by the cardiologists. | :*[[Arrthymia]]: For patient whose syncope is caused by [[bradycardia]] or heart block, a [[pacemaker]] may be considerd to solve the problems. An [[implantable cardioverter defibrillator]] ([[ICD]]) may help the patient with repeated [[ventricular tachycardia]]. Sometimes, [[antiarrhythmic drug]]s may be helpful for some patients. These treatments should be ordered by the cardiologists. | ||
===Neurologic Syncope=== | ===Neurologic Syncope=== | ||
:*Medications: Medications, such as [[aspirin]], [[warfarin]] or [[heparin]] | :*Medications: Medications, such as [[aspirin]], [[warfarin]] or [[heparin]] | ||
===[[Vasovagal Syncope]]=== | ===[[Vasovagal Syncope]]=== | ||
:*Educating patients not to wear tight collars, not to cough with difficulty, to try to piss in a seated status. | :*Educating patients not to wear tight collars, not to cough with difficulty, to try to piss in a seated status. | ||
Revision as of 15:00, 5 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Medical Therapy
Urgent Treatment
Recommended treatment is to allow the person to lie on the ground with his or her legs slightly elevated. As the dizziness and the momentary blindness passes, the person may experience visual disturbances in the form of small bright dots (phosphene). These will also pass within a few minutes.
After initial stabilization the treatment of syncope depends on the causes.
Cardiac Syncope
- Arrthymia: For patient whose syncope is caused by bradycardia or heart block, a pacemaker may be considerd to solve the problems. An implantable cardioverter defibrillator (ICD) may help the patient with repeated ventricular tachycardia. Sometimes, antiarrhythmic drugs may be helpful for some patients. These treatments should be ordered by the cardiologists.
Neurologic Syncope
Vasovagal Syncope
- Educating patients not to wear tight collars, not to cough with difficulty, to try to piss in a seated status.
- Avoiding wounded when falling
Orthostatic Hypotension
- Be careful when changing positions from sitting to standing