Syncope Flashcards
1
Q
What are the types of syncope?
A
Vasovagal Cough Effort Micturition Epilepsy Hypoglycaemia Orthostatic hypotension
2
Q
What are important history points to illicit?
A
LOC Symptoms before How long they were out Any injuries Memories of after the syncope Background
3
Q
What is vasovagal syncope?
A
Drop in HR and BP due to trigger
4
Q
What can trigger vasovagal syncope?
A
Emotion
Stress
Pain
Standing too long = reflex bradycardia + vasodilation
5
Q
Are there any pre-syncopal symptoms in vasovagal?
A
Nausea
Pallor
Sweating
6
Q
What is cough syncope?
A
Weakness and LOC after coughing
7
Q
What is effort syncope?
A
Syncope associated with exercise
Often cardiac related
- aortic stenosis
- HOCM
8
Q
What is micturition syncope?
A
Syncope occurring with micturition - mostly men
9
Q
How is syncope investigated?
A
History
Exam
- CVS
- neurological
L/S BP
ECG
BM