PPT-Syncope

Joseph P Ornato MD FACP FACC FACEP Professor amp Chairman Department of Emergency Medicine Syncope A symptom not a diagnosis Selflimited loss of consciousness and postural tone. 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 Case Review. Amy Gutman MD ~ EMS Medical Director. www.prehospitalmd@gmail.com / www.TEAEMS.com. Objectives. “Weak & Dizzy” is a common complaint with both benign & lethal causes. E. tiologies . 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. JohN. . Catanzaro MD, FACC, FESC, FHRS. Associate Medical Director Electrophysiology Program. Associate Program Director Clinical Cardiac Electrophysiology Program. Disclosures. Fellowship Support – Medtronic, Abbott, Boston Scientific. A Case-Based Approach to Diagnosis. Sarah Hodges, DO. Neurology. I have no disclosures to share. Objectives . Define syncope and seizure. Review natural history of syncope and seizure. List etiologies of seizure and syncope. Nothing to disclose. Syncope Is. t. he abrupt and transient loss of consciousness. associated with absence of postural tone. followed by complete and usually rapid spontaneous recovery. Syncope. alarming for the individual, witnesses, family, and providers. 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) . ( Neurocardiogenic /Reflex Syncope) Behzad Pavri, MD, FACC, FHRS Professor of Medicine Director, CCEP Fellowship Thomas Jefferson University Hospital, Philadelphia, USA Disclosures • Speaker for St. Receptors Receptors SyndromeSyndromeReceptorReceptor Vasovagal syncopeVasovagal syncopeVentricular Ventricular mechanoreceptorsmechanoreceptors Micturition syncopeMicturition syncopeBladder Bladder me Sudden cardiac death. MUDr. Marko Bjeloševič,. PhD.. . Pediatric Cardiac Center in Bratislava. Epidemiology - loss of consciousness. 25% children (at least 1 loss of consciousness before 19 y. ). 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 .