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Syncope: Evaluation and Differential Diagnosis

March 1, 2017 Volume 95, Number 5 American Family Physician 303 Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. It accounts for 1% to of emergency department visits, resulting in high hospital admission rates and significant medical costs. Syncope is classified as neurally mediated, cardiac, and orthostatic hypotension. Neurally mediated syncope is the most common type and has a benign course, whereas cardiac syncope is associated with increased morbidity and mortality. Patients with presyncope have similar prognoses to those with syncope and should undergo a similar Evaluation . A standard-ized approach to syncope Evaluation reduces hospital admissions and medical costs, and increases diagnostic accu-racy.

Mar 01, 2017 · Pulmonary hypertension Often asymptomatic; may cause fatigue and shortness of breath Saddle pulmonary embolus Acute shortness of breath, chest pain, hypoxia, right

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