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Evaluation and Management of Syncope

Syncope. Definition: Sudden transient loss of conciousness and postural tone with subsequent spontaneous recovery.. Syncope - Epidemiology. 1% of hospital admissions3% of ER visits6% annual incidence in the elderlyUpto 50% of young adults have history of isolated LOC Annual cost $800 M

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Evaluation and Management of Syncope

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    1. Evaluation and Management of Syncope

    2. Syncope Definition: Sudden transient loss of conciousness and postural tone with subsequent spontaneous recovery.

    3. Syncope - Epidemiology 1% of hospital admissions 3% of ER visits 6% annual incidence in the elderly Upto 50% of young adults have history of isolated LOC Annual cost $800 M (1999) Clin Electrophysiol 22:1386,1999

    4. Syncope - Prognosis Highest mortality in patients with cardiac cause Neurally mediated syncope/ medication induced syncope did not increase mortality Soteriades ES, et al: N Eng J Med 347:878, 2002

    5. Causes of Syncope Vascular ( 58 – 62 % ) : Reflex mediated, orthostatic, anatomic Cardiac ( 10 – 23 % ): Arrhythmias, anatomic Neurologic/cerebrovascular* ( 0.5 – 5 % ) Metabolic/drugs ( 0 – 2 % ) Psychogenic* ( 0.2 – 1.5 % ) Syncope of unknown origin ( 14 – 18 % )

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