Syncope

Question 1

Syncope

Answer 1

brief loss of consciousness associated with an inability to maintain postural tone that spontaneously and completely resolves without medical intervention.

Question 2

Major causes of syncope (CMNNOP)

Answer 2

Cardiac (Structural and Dysrhythmias)
Neural/Reflex-Mediated
Orthostatic hypotension
Psychiatric
Neurologic
Medication

Question 3

….. syncope is the most dangerous and can be a harbinger of sudden death.

Answer 3

Cardiac-related

Question 4

Drugs Commonly Implicated in Syncope

Answer 4

1 Antihypertensives Beta-Blockers
2 Cardiac glycosides
3 Diuretics
4 Antidysrhythmics
5 Antipsychotics
6 Antiparkinsonism drugs
7 Antidepressants
8 Phenothiazines
9 Nitrates
10 Alcohol
11Cocaine

Question 5

Important history features in Syncope

Answer 5

the events leading up to the loss of consciousness,
the characteristics of the loss of consciousness,
symptoms occurring after regaining consciousness.

Question 6

….is the most common event mistaken as syncope.

Answer 6

Seizure

Question 7

Which rule in Syncope

Answer 7

The San Francisco Syncope Rule

(1) a history of CHF,
(2) an abnormal ECG (a rhythm other than sinus, including those on rhythm strips or monitoring, conduction delays, or new changes, as minimal as first-degree atrioventricular block, or any morphologic changes to the QRS complex or ST segment that could not be proven to be old by prior tracings),
(3) a hematocrit of