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Evaluating the Function of the Foot Core System in the Elderly
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Syncope in the Elderly.

Helen O' Brien1, Rose Anne Kenny1

  • 1Department of Medical Gerontology, TCIN, St James's Hospital, Dublin, Ireland.

European Cardiology
|October 13, 2018
PubMed
Summary
This summary is machine-generated.

Syncope in the elderly is often atypical and under-recognized, presenting as falls rather than loss of consciousness. Prompt assessment and early intervention are crucial for managing this common geriatric syndrome.

Keywords:
Syncopecardiac syncopecarotid sinus syndromeelderlyneurally mediatedolder personorthostatic hypotensionreflex syncopereviewvasovagal

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Area of Science:

  • Geriatrics
  • Cardiology
  • Emergency Medicine

Background:

  • The global population is rapidly aging, leading to an increased prevalence of elderly patients in healthcare settings.
  • Syncope (transient loss of consciousness) in older adults is frequently under-recognized due to atypical presentations, such as falls without witnessed loss of consciousness.
  • Age-related physiological changes, multi-morbidity, and polypharmacy increase syncope susceptibility in the elderly.

Purpose of the Study:

  • To provide an updated overview of the presentation and management of syncope in the aging demographic.
  • To highlight the challenges in diagnosing syncope in older patients within acute care settings.

Main Methods:

  • Review of current literature on syncope in the elderly.
  • Analysis of atypical presentations and contributing factors in geriatric syncope.
  • Discussion of diagnostic approaches and management strategies.

Main Results:

  • Older adults often present atypically, lacking a prodrome and experiencing unwitnessed events or amnesia.
  • Falls are a common presentation of syncope in the elderly, often mistaken for other conditions.
  • Cardiac causes are frequent, and multiple contributing factors are common in this population.

Conclusions:

  • Syncope in the elderly is a significant cause of morbidity and mortality with substantial healthcare costs.
  • Early and targeted assessment is essential for effective syncope management in older adults.
  • Healthcare professionals require updated knowledge to accurately diagnose and manage syncope in the aging demographic.