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 HSAJB. PRESENTER: NURULFAZIHA HAMIDON. SUPERVISOR: DR POH SIONG WI . OBJECTIVES. Know . how to approach a patient with seizure/fits. Know . how to approach a patient with syncope. Differentiate . between fits and faints, and make a provisional diagnosis. 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. 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 . Mark Keezer. R5 Neurology. ELS . July 13, 2011. Seizure versus syncope!?. All of the above?. Outline. Brief overview of epileptic seizures. Syncope: an organized approach. Seizure versus syncope. An approach to the patient. 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 . Cost Conscious Project. Marvin Chang, PGY2. Objectives. Goal: To identify appropriate indications for ordering echocardiograms in patients admitted for syncope. . Estimate the cost saved by judicious ordering of echocardiograms.. Eric Johnson, MD. April 18, 2019. Finding the Needle in the Haystack. Disclosures. None. Objectives. List the most common causes of syncope in pediatric patients. Describe the mechanism of vasovagal syncope in one sentence. 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 . 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) . 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 FEATURES INDICATING HOSPITALIZATION OR INTENSIVE EVALUATION OF SYNCOPEChest pain suggesting coronary ischemiaFeatures of congestive heart failureModerate or severe valvular diseaseModerate or severe s Page 1 of 3 10/2016 ALTERED LEVEL OF CONSCIOUSNESS ( A LOC) & SYNCOPE (FAINTING) ALOC Altered lev el of consciousness (ALOC) is a state of consciousness where an individual is not as awake, aler syncope. Given the trend towards benefit though, it is unknown if a longer duration of follow-up in this trial or another trial with a larger sample size would show a significant benefit in favor of .