Syncope secondary prevention

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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

There are no established measures for the secondary prevention of syncope.

Secondary Prevention

Condition	Time needed for avoidance of driving after syncope
Ortosthasis hypotension	1 month
Vasovagal syncope, no syncope in last year}}	No restriction
Vasovagal syncope, 1-6 syncope per year	1 month
Vasovagal syncope, >6 syncope per year	No permission until resolving the symptoms
Situational syncope other than cough syncope	1 month
cough syncope, not treated	No permission
cough syncope, treaten with cough suppression	1 month
carotid sinus syncope, not treated	No permission
carotid sinus syncope, treated with permanent pacemaker	1 week
Non reflex sinus bradycardia syncope, not treated	No permission
Non reflex sinus bradycardia syncope,permanent pace maker implantation	1 week
SVT leading syncope, not treated	No permission
SVT leading syncope, arrhythmia suppression with medications	1 month
SVT leading syncope, arrhythmia ablation	1 week
LVEF< 35% , suspected arrhythmic syncope without ICD	No permission
LVEF< 35% , suspected arrhythmic syncope with ICD	3 months
LVEF> 35%, structural heart disease,VT or VF leading syncope, not treated	No permission
LVEF> 35%, structural heart disease,VT or VF leading syncope, treated with ICD implantation and medications	3 months
Syncope due to VT from RVOT, LVOT regions, untreated	No permission
Syncope due to VT from RVOT, LVOT regions , treated with ICD implantation and medications	3 months
Syncope of undetermined etiology	1 month