Syncope Workshop

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2 Conflict Disclosure Information Peter Leong-Sit, MD FINANCIAL DISCLOSURE No relevant disclosures.
3 Learning Objectives To discuss the diagnostic evaluation and management strategies of vasovagal syncope by review of case studies To review the Head Up Tilt Table Test and its utility as a diagnostic tool in syncope To discuss the utility of available and upcoming monitoring devices for investigating syncope To review non-pharmacological, pharmacological and pacing indications in the management of vasovagal syncope
Page 1: 1 Syncope Workshop Allan Skanes, MD
Page 6 and 7: 6 This person first needs: 1. Pacem
Page 8 and 9: 8 Importance of History Benign Etio
Page 10 and 11: Diagnosis a challenge Importance o
Page 12 and 13: 12 Sheldon et al. Eur Heart J 2005
Page 14: Tailor your testing Is this life t
Page 17 and 18: ECG following last episode 17
Page 19 and 20: Diagnostic Yield (%) Yield of Diagn
Page 21 and 22: Echocardiography Low routine yield
Page 23 and 24: Back to Case: Echo Normal LVEF No
Page 25 and 26: Provocative Testing: Tilt Table Re
Page 27 and 28: Responses to Tilt Table Testing Ca
Page 29 and 30: Pure Vasodepressor 29
Page 31 and 32: Post Test Probability Intermediate
Page 33 and 34: Suspect an Arrhythmia? Diminishing
Page 35 and 36: Patients (%) Holter for Syncope and
Page 37 and 38: Importance of a Proper Patient Diar
Page 39 and 40: Implantable ECG Monitoring Systems
Page 42 and 43: Randomized Assessment of Syncope Tr
Page 44 and 45: EF Approach to Syncope 44
Page 46 and 47: Case investigation Echo: normal LV
Page 48 and 49: ILR Interpretation Vasovagal synco
Page 50 and 51: Lifestyle Measures Treatment of VV
Page 52 and 53:
Drug Therapy - weak evidence Parox
Page 54 and 55:
Pacemakers for VVS 54 Bradycardia o
Page 56 and 57:
Case closure... VVS plus vagally-m
Page 58 and 59:
Questions? 58
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Syncope Workshop

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