The cardiac causes can be subdivided into mechanical and electrical. The aim of diagnostic evaluation of syncope in the elderly is firstly to identify those who are likely to have life-threatening events or increased risk of death and secondly to prevent recurrent falls. Clinical history and ...
Syncope in the elderly is a challenging presentation that is under-recognised, particularly in the acute care setting. The reason for this is that presentation in the older person may be atypical: patients are less likely to have a prodrome, may have amnesia for loss of consciousness and ...
Syncope is defined as transient loss of consciousness associated with the loss of postural tone that is a result of sudden transient and inadequate cerebral blood flow; an acute fall in systolic blood pressure to less than 70 mmHg causes an interruption of cerebral blood flow for more than 8 ...
Cardiogenic and orthostatic syncope can be diagnosed in the majority of cases in the ED setting. Neurogenic causes of syncope may require more extensive testing and a longer in-hospital stay to determine the underlying cause. However, with the advent of more definitive laboratory tests such as CK...
Their contact with the objects also causes a cardboard box to manifest in their parents' attic which when opened by the affected individual contained memorabilia regarding the camp. Affected individuals if near each other would engage in a conversation about their time in the camp, but as they ...
We classified the causes of syncopes, as reported in Table 1. Diagnostic criteria for the causes of syncope were developed before enrollment, on the basis of an extensive review of the pertinent published data, and assignment of a cause was based on strict adherence to these criteria. The dia...
People of any age can faint, but elderly persons may have a serious underlying cause. Fainting accounts for a small portion of emergency department visits and 6% of hospital admissions. The most common causes of fainting are vasovagal (a sudden drop in heart rate and blood pressure) and cardia...
Syncope in the older person carries a high morbidity, mortality, and health economic burden. While neurally mediated disorders and orthostatic hypotension account for the majority of syncopal episodes in this age group, around a third of causes are cardiac, predominantly arrhythmic. Clinicians need ...
The concomitant diversion of blood to the bowel coupled with the limited cardiac output can result in systemic hypotension, and thus syncope. This phenomenon has been described in the literature as postprandial hypotension where it is stated that limited cardiac output, elderly age, and Alzheimer's...
Syncope is an important problem in clinical practice with many possible causes that might be misdiagnosed. We present an unusual case of syncope, which has a normal chest X-ray. Exercise EKG and coronary angioplasty results confirmed the existence of serious coronary heart disease. The patient was...