syncope
DESCRIPTION
SYNCOPE. Prof JD Marx. DEFINITION. Short transient episode of loss of consciousness. ETIOLOGY. 1. CARDIAC. 2. NEUROGENIC. 3. NEURO-CARDIOGENIC SYNCOPE. 4. OTHER. 1. CARDIAC. a.) Structural Heart Disease Hypertrophic obstructive cardiomyopathy. Aortic stenosis. - PowerPoint PPT PresentationTRANSCRIPT
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SYNCOPESYNCOPE
Prof JD MarxProf JD Marx
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DEFINITIONDEFINITION
Short transient episode of loss of consciousness
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ETIOLOGYETIOLOGY
1. CARDIAC
2. NEUROGENIC
3. NEURO-CARDIOGENIC SYNCOPE
4. OTHER
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1. CARDIAC
a.) Structural Heart Disease
Hypertrophic obstructive cardiomyopathy
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Aortic stenosis
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Mitral stenosisMitral stenosis
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Myxoma LAMyxoma LA
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Aortic dissectionAortic dissection
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b.) Dysrhythmias
Tachy-arrhythmiasTachy-arrhythmias•Ventricular Ventricular •SupraventricularSupraventricular
Brady-arrhythmiasBrady-arrhythmias•AV BlockAV Block
1. CARDIAC
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c.) Other
Orthostatic hypotensionOrthostatic hypotension
DrugsDrugs
1. CARDIAC
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2. NEUROGENIC
a.) Epilepsy
b.) TIA
c.) Autonomic neuropathy
Diabetes mellitusDiabetes mellitus
Shy Drager syndromeShy Drager syndrome
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3. NEURO-CARDIOGENIC SYNCOPY
a.) Carotid sensitivity
b.) Situational syncope
CoughCough
MicturitionMicturition
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4. OTHER
a.) Pulmonary Embolism
b.) Vertigo (BPPV)
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c.) Differential Diagnosis
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Do the findings suggest a cardiac diagnosis?
SPECIAL EXAMINATIONS
Consider• EEG• Carotid doppler• CT/MRI brain scan
Consider• Tilt test
Consider• Ambulatory ECG• Echo• Electrophysiological Study
Obtain history of patient and witness, physical examination,12-lead ECG
ECG with carotid sinus massage
NOYES
NOYES
Do the findings suggest a neurological diagnosis?
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TREATMENT
1. Underlying Condition
2. Neurocardiogenic syncope
• Β blocker
• Disopyramide
• Tricyclic antidepressants
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Thank YouThank You