Transcription of Syncope: Evaluation and Differential Diagnosis
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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. The initial assessment for all patients presenting with syncope includes a detailed history, physical examination, and electrocardiography.
Mar 01, 2017 · standing or during Valsalva maneuver Structural cardiac disease Acute myocardial infarction or ischemia Diaphoresis, exertional chest pain, …
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