Syncope resident survival guide: Difference between revisions
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===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | ||
* [[ | |||
* [[ | *[[Hemorrhage]] | ||
* [[ | *[[Hypotension]] | ||
*[[Hypoxia]] | |||
*[[Ruptured abdominal aortic aneurysm]] | |||
*[[Ventricular arrhythmia]]<ref name="Khoo-2013">{{Cite journal | last1 = Khoo | first1 = C. | last2 = Chakrabarti | first2 = S. | last3 = Arbour | first3 = L. | last4 = Krahn | first4 = AD. | title = Recognizing life-threatening causes of syncope. | journal = Cardiol Clin | volume = 31 | issue = 1 | pages = 51-66 | month = Feb | year = 2013 |doi = 10.1016/j.ccl.2012.10.005 | PMID = 23217687 }}</ref> | |||
===Common Causes=== | ===Common Causes=== |
Revision as of 21:09, 9 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karol Gema Hernandez, M.D. [2]
Definition
Syncope is defined as a transient LOC, characterized by rapid onset, short duration and spontaneous complete recovery due to cerebral hypoperfusion.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Management
Diagnostic Algorithm for Syncope
Determine if there was LOC | |||||||||||||||||||||||||||||||||
If yes: ❑ Rapid onset? ❑ Short duration? ❑ Spontaneous complete recovery? | If no: | ||||||||||||||||||||||||||||||||
If no to ≥1; exclude the following before proceeding with syncope evaluation: ❑ Coma ❑ Aborted SCD ❑ Epilepsy ❑ Metabolic disorders: ♦ Hypoglycemia ♦ Hypoxia ♦ Hyperventilation with hypocapnia ❑ Intoxication ❑ Vertebrobasilar TIA | If yes: ❑ Transient LOC | ||||||||||||||||||||||||||||||||
Non traumatic | Traumatic | ||||||||||||||||||||||||||||||||
Algorithm based in 2009 ESC Guidelines for the Diagnosis and Management of Syncope. [2]
References
- ↑ Khoo, C.; Chakrabarti, S.; Arbour, L.; Krahn, AD. (2013). "Recognizing life-threatening causes of syncope". Cardiol Clin. 31 (1): 51–66. doi:10.1016/j.ccl.2012.10.005. PMID 23217687. Unknown parameter
|month=
ignored (help) - ↑ Task Force for the Diagnosis and Management of Syncope. European Society of Cardiology (ESC). European Heart Rhythm Association (EHRA). Heart Failure Association (HFA). Heart Rhythm Society (HRS). Moya A; et al. (2009). "Guidelines for the diagnosis and management of syncope (version 2009)". Eur Heart J. 30 (21): 2631–71. doi:10.1093/eurheartj/ehp298. PMC 3295536. PMID 19713422 Check
|pmid=
value (help).