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Therapy for Syncope.

Angel Moya1

  • 1Arrhythmia Unit, Cardiology Department, Vall d'Hebron Hospital, Autonoma University Barcelona, P. Vall d'Hebrón 119 - 129, 08035 Barcelona, Spain.

Cardiology Clinics
|June 28, 2015
PubMed
Summary
This summary is machine-generated.

Diagnosing syncope involves history, exam, and ECG. This approach identifies the cause in 60-80% of cases, aiding risk stratification for others.

Keywords:
Bundle branch blockCardiac syncopeCounterpressure maneuversPacemaker therapyReflex syncopeSyncopeSyncope secondary to orthostatic hypotension

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Area of Science:

  • Cardiology
  • Internal Medicine
  • Neurology

Background:

  • Syncope diagnosis presents challenges, requiring a systematic approach.
  • Initial evaluation includes clinical history, physical examination, and electrocardiogram (ECG).

Purpose of the Study:

  • To review the diagnostic process for syncope.
  • To outline risk stratification strategies for unexplained syncope.
  • To discuss syncope treatment based on identified causes.

Main Methods:

  • Detailed clinical history taking.
  • Thorough physical examination.
  • Baseline electrocardiogram (ECG).
  • Performance of additional tests based on initial findings.

Main Results:

  • The diagnostic strategy successfully identifies the cause of syncope in 60% to 80% of patients.
  • For the remaining patients, risk stratification identifies those at risk for cardiac events or death.

Conclusions:

  • A structured diagnostic approach is effective for syncope.
  • Risk stratification is crucial for managing patients with unexplained syncope.
  • Treatment of syncope should be tailored to the underlying cause.