A Practical Approach to Syncope

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Take home messages• History is the most important tool indiagnosing the aetiology of syncope(diagnoses up to 50%)• Targeted investigations are helpful inconfirming a diagnosis• Those patients at high risk need early Ix andRx
Case Hx 6• 68 year old women• Hx of syncope on 4 occasions during the last 3years• Gamut of Ix including EEG, CT, MRI• Admitted for in ward monitoring• Monitor showed CHB escape rhythm of
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 and 32: Carotid massage
Page 35 and 36: Bradycardiastudy
Page 39: High Risk Patients who may need adm

A Practical Approach to Syncope

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