Syncope: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
===History and physical=== | ===History and physical=== | ||
An evaluation based on the initial history and [[physical examination]] will correctly diagnose the underlying cause in 63% of patients according to one [[case series]].<ref name="pmid17916139">{{cite journal |author=van Dijk N, Boer KR, Colman N, ''et al'' |title=High diagnostic yield and accuracy of history, physical examination, and ECG in patients with transient loss of consciousness in FAST: the Fainting Assessment study |journal=J. Cardiovasc. Electrophysiol. |volume=19 |issue=1 |pages=48–55 |year=2008 |pmid=17916139 |doi=10.1111/j.1540-8167.2007.00984.x |issn=}}</ref> | |||
Having more than one prodrome symptom (e.g. dizzines, nausea) is predictive of vasovagal and psychogenic syncope.<ref name="pmid17397948">{{cite journal |author=Graf D, Schlaepfer J, Gollut E, ''et al'' |title=Predictive models of syncope causes in an outpatient clinic |journal=Int. J. Cardiol. |volume=123 |issue=3 |pages=249–56 |year=2008 |pmid=17397948 |doi=10.1016/j.ijcard.2006.12.007 |issn=}}</ref> | Having more than one prodrome symptom (e.g. dizzines, nausea) is predictive of vasovagal and psychogenic syncope.<ref name="pmid17397948">{{cite journal |author=Graf D, Schlaepfer J, Gollut E, ''et al'' |title=Predictive models of syncope causes in an outpatient clinic |journal=Int. J. Cardiol. |volume=123 |issue=3 |pages=249–56 |year=2008 |pmid=17397948 |doi=10.1016/j.ijcard.2006.12.007 |issn=}}</ref> | ||
Revision as of 09:42, 15 February 2008
Syncope is a "transient loss of consciousness and postural tone caused by diminished blood flow to the brain (i.e., brain ischemia). Presyncope refers to the sensation of lightheadedness and loss of strength that precedes a syncopal event or accompanies an incomplete syncope."[1]
Diagnosis
History and physical
An evaluation based on the initial history and physical examination will correctly diagnose the underlying cause in 63% of patients according to one case series.[2]
Having more than one prodrome symptom (e.g. dizzines, nausea) is predictive of vasovagal and psychogenic syncope.[3]
Testing
A p-wave longer than 120 ms on electrocardiogram is suggestive of a cardiac arrhythmia.[3]
References
- ↑ Anonymous (2024), Syncope (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ van Dijk N, Boer KR, Colman N, et al (2008). "High diagnostic yield and accuracy of history, physical examination, and ECG in patients with transient loss of consciousness in FAST: the Fainting Assessment study". J. Cardiovasc. Electrophysiol. 19 (1): 48–55. DOI:10.1111/j.1540-8167.2007.00984.x. PMID 17916139. Research Blogging.
- ↑ 3.0 3.1 Graf D, Schlaepfer J, Gollut E, et al (2008). "Predictive models of syncope causes in an outpatient clinic". Int. J. Cardiol. 123 (3): 249–56. DOI:10.1016/j.ijcard.2006.12.007. PMID 17397948. Research Blogging.