Syncope

Question 1

Cardiogenic Syncope- Sx

Answer 1

• Rhythm disturbances (Sick sinus, AV block tachyarrthym.)
• Mechanical- stenosis, obstructive cardiomyopathy, pulm HTN
• Exertional episodes

Question 2

Cardiogenic Syncope- Dx

Answer 2

Echo & ECG to determine cause

Question 3

Cardiogenic Syncope- Tx

Answer 3

Underlying disorder- bradyarrthymia: pacemaker

vertricular tach- cardioverter-defib.

Question 4

Vasopressor Syncope-

Answer 4

• Excessive vagal tone

- Initiated by stress, premonitory: Nausea, diaphoresis, tachycardia, pallor

Question 5

Vasopressor Syncope- Dx

Answer 5

• Hx

- Carotid sinus massage or tilt-table testing

Question 6

Vasopressor Syncope- Tx

Answer 6

Avoid stimuli, lie down, beta blockers