Syncope historical perspective
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Syncope has passed through various attempts to define it, the last one being; a transient loss of consciousness due to cerebral hypo perfusion. Syncope belongs to the non- traumatic causes of T-LOC.
Historical Perspective
Syncope was defined by European Task Force in 2009 Guidelines as the transient loss of consciousness (T-LOC), due to cerebral hypoperfusion. The T-LOC was characterized by four features:
- Transient
- Rapid onset
- Brief duration
- Spontaneous recovery
Previous definitions did not included the cause of the T-LOC (cerebral hypoperfusion). This lead to incorrect diagnosis, because T-LOC, includes a series of other pathologies that are not caused by hypoperfusion, such as seizures, epilepsy, metabolic disturbances (hypoglycemia, hipoxia), vertebrobasilar TIA (transient ischaemic attack), intoxication, among others. [1]
References
- ↑ 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.