Syncope in Adults Flashcards
syncope malignant or benign?
usually beningn and self limiting
Syncope definition?
abrupt transient loss of consciousness, postural tone, complete and rapid recovery
aim of syncope evaluation?
risk stratification
Top 2 causes of syncope usually?
Vasovagal
Arrythmia
name 4 non syncope conditions:
fall
TIA
cardiac arrest
Presyncope
Investigate what if syncope + headache?
headache
think SAH
Investigate what if syncope + chest pain?
chest pain
Investigate what if syncope + dyspnea?
dyspnea
think PE
first 3 things to think about for initial evaluation of syncope?
actually syncope?
Seizure?
risk of death?
what part of syncope history is important for duration and recovery?
collateral history
when should we be worried about recurrent episodes?
New onset is more concerning
Recurrent means they may be predisposed
causes of vasovagal syncope?
hot environment
diaphoresis
nausea
pallor
kinds of situational syncope
prolonged standing post-prandial fear pain cough defecating
what does vagal surge cause?
bradycardia and hypotension
what is neck movements cause syncope?
hypersensitive carotid sinus
what can cause exertion related syncope?
aortic stenosis,
V-arryth
prolonged QT
predisposition for syncope?
anaemia
why is Long QT dangerous?
risk of arrythmia, v-fib, as there is a longer relative refractory period and more can go wrong
what is Wolfe Parkinson Whyte
congenital: , an extra electrical pathway between your heart’s upper chambers (atria) and lower chambers (ventricles) causes a rapid heartbeat (tachycardia
what indicates Wolfe Parkinson Whyte on ECG?
delta waves, tall QRS waves
