A Practical Approach to Syncope

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Ix for Orthostatic HypotensionActive standing• Supine BP and frequent BP measurements up<strong>to</strong> 3 min – 30 min• Positive if fall in syst. BP >20mmHg or diast.>10mmHg or Syst.
InvestigationsTruesyncopeAppropriate RxAppropriate IxsECGEchoHUTT/ActivestandingReflexsyncope/orthostatichypotensionRx appropriately? arrhythmia1. Holter/loop recorder2. Ex ECG3. EP study
Page 1 and 2: A Practical Approach to SyncopeDr.
Page 3 and 4: Exclusions• Conditions with LOC b
Page 6 and 7: Pre-syncope ↔ Syncope?
Page 8 and 9: Hx of syncope episodeLatest episode
Page 10 and 11: • Time of episode- Early morning
Page 12 and 13: Posture and situation cont.• Emot
Page 14 and 15: Preceding symptoms• Palpitations-
Page 16 and 17: During syncope• Tonic clonic move
Page 18 and 19: Recovery• Spontaneous and complet
Page 20 and 21: VVSStructural HDAutonomic failureDr
Page 22 and 23: Case Hx 5Episode of Syncopeyoung•
Page 24 and 25: After Hx & ExDefinite Syncope• Ve
Page 26 and 27: InvestigationsEchocardiogram• AS/
Page 28 and 29: InvestigationsTruesyncopeAppropriat
Page 31: Carotid massage
Page 35 and 36: Bradycardiastudy
Page 37 and 38: InvestigationsTruesyncopeAppropriat
Page 39 and 40: High Risk Patients who may need adm
Page 41: Case Hx 6• 68 year old women• H

A Practical Approach to Syncope

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