Syncope Flashcards
1
Q
San Francisco Syncope criteria
A
CHESS: CHF History HCT < 30% ECG abnormality SOB history SBP <90 at triage
2
Q
San Francisco Syncope rule outcomes
A
10% of patients who present with syncope and meet at least one of the criteria will have a serious outcome within 7 days
1.4% of patients who are rule-negative will have a serious outcome in 7 days
3
Q
Red flag history for syncope
A
Exertion preceding the event
History of cardiac disease in the patient
Family history of sudden death, deafness, or cardiac dz
Recurrent episodes
Recumbent episode
Prolonged loss of consciousness
Associated chest pain or palpitations
Use of medications that can alter cardiac conduction
4
Q
Syncope Ddx by system category (3)
A
Cardiovascular
Neurogenic
Orthostatic
5
Q
Syncope: Cardiovascular Ddx (10)
A
Aortic dissection MI PE Tamponade Arrhythmia Valvular dz CHF Hypertrophic cardiomyopathy Pulmonary hypertension Pacemaker malfunction
6
Q
Syncope: Neurogenic Ddx (10)
A
Vasovagal: Fear Pain Emotional Valsalva Breath-holding spell
Situational: Coughing Micturition Defecation Vomiting
Carotid sinus stimulation
