Syncope
From IDWiki
Definition
- Transient loss if consciousness that spontaneously resolves without deficits
Differential Diagnosis
- Cardiac
- Arrhythmias
- Valvular
- Aortic stenosis
- Mitral stenosis
- Myocardial
- Myocardial infarction
- Inferior (vascular distribution affects conduction)
- Large left coronary
- Hypertrophic obstructive cardiomyopathy (HOCM)
- Myocardial infarction
- Pericardial
- Cardiac tamponade
- Neurological
- Seizure
- Stroke
- Reflex
- Vasovagal
- Carotid sinus hypersensitivity
- Situational
- Orthostatic
- Hypovolemic
- Drugs
- Diuretics
- CCBs
- Beta blockers
- Dysautonomia
- Diabetes mellitus
- Parkinson's
- Age
- Other
- Respiratory
- Pulmonary embolism
- Psychiatric
- Respiratory
Red flags
- Sudden drop (Stokes-Adams)
- Family history of sudden death
- EKG changes
- See ROSE rule for syncope