PPT-Syncope diagnostic algorithm and management

MUDr Jakub Honěk Kardiologická klinika 2LF UK a FN Motol Praha Definition of syncope Syncope is a TLOC due to transient global cerebral hypoperfusion characterized by rapid onset short duration and spontaneous. Prior to syncope you may experience dizziness nausea palpit ations cold sweats shortness of breat h or chest discomfort Usua lly consciousness returns in a matter of seconds or minutes Fainting is fairly common and usually isnt caused by a serious o People Management Network. 1. Overview of the session. Introduction to the project . An explanation of the Diagnostic. Conclusions – what I have learnt. Developed . from the Strengthening the Performance Framework Project. Alexander Thai. Emergency Medicine Resident PGY-1. Disclaimer. I have no affiliations or financial benefits from this lecture. Disclaimer. I have no affiliations or financial benefits from this lecture. Alessandro . Proclemer. SOC . Cardiologia. – Az. . Osp.-Univ. . Udine . DISCLOSURE INFORMATION. Dr. Alessandro Proclemer. negli ultimi due anni ho avuto i seguenti rapporti anche di finanziamento con soggetti portatori di interessi commerciali in campo sanitario. Joseph P. . Ornato. , MD, FACP, FACC, FACEP. Professor & Chairman, Department of Emergency . Medicine. Syncope . –. A symptom, not a diagnosis. Self-limited loss of consciousness and postural tone. Gain organised knowledge in the subject area syncope. Be able to correctly interpret clinical findings in patients with syncope. Know and apply the relevant evidence and/or guidelines . Be . aware of common cognitive biases in the diagnosis and management of . Philip . Dittmar. January 31, 2014. I have no conflicts of interest to disclose.. Syncope. The current state in healthcare. Classification of syncope. Costs of a “typical” work up. Ways to provide “High Value Cost Conscious Care”. Learning . Objectives. Assessment of Patients With Suspected AMI. Evolution of hs-cTnT . Cardiac Troponin. Evolution of Temporal Serial Sampling. hs-cTn. ESC 0/3-Hour Algorithm. hs-cTnT. ESC 0/1-Hour Rule-In/Rule-Out Algorithm . and . management. MUDr. . Jakub . Honěk. MUDr. Martin Horváth. Kardiologická klinika, 2.LF UK a FN Motol, Praha. The. . i. mportance. . of. . appropriate. . diagnostics. . a managementu . of. Definition: . Brief loss of consciousness and loss of postural tone . Common: seen in up to 15% of adolescents . Majority are neural mediated . Cardiogenic causes <1.5%. Management. : Careful history including family history . Syncopedia.org. Financial Disclosure: . I have no relevant financial relationships to disclose. Acknowledgements. First . author. Suzanne Peeters . Emergency. . physician. , Flevo Teaching . Hospital. NEURO EXAMS . This takes about a minute… . Alertness . “Smile”. “Raise your eyebrows”. “Hands out in front, palms up… . Close your eyes, touch your nose . Eye movement . Grips (check pulses) . Receptors Receptors SyndromeSyndromeReceptorReceptor Vasovagal syncopeVasovagal syncopeVentricular Ventricular mechanoreceptorsmechanoreceptors Micturition syncopeMicturition syncopeBladder Bladder me SYNCOPESYNCOPEA Transient Loss of ConsciousnessA Transient Loss of ConsciousnessThe primary purpose of the evaluation of The primary purpose of the evaluation of the patient with syncope is to determi