LUDWIG, MD, SREEKANTH VEMULAPALLI, MD and NORA GOLDSCHLAGER, MD ABSTRACT: Structural heart disease is the most important risk factor for mortality in patients with syncope. A workup that includes a thorough history taking, focused physical examination, and electroca...
Syncope. Cost-effective patient workup. 来自 Semantic Scholar 喜欢 0 阅读量: 26 作者: KL Radack 摘要: Syncope is a common problem in primary care practice that presents a diagnostic challenge. Fortunately, the initial evaluation not only identifies the cause in most patients with an identifiable...
Meredith Trubitt, MD:I think the best place to start is talking about the different etiologies of syncope. It’s important to think through these etiologies, and common things being common, reflex-mediated and orthostatic causes represent the bulk of syncopal episodes. It’s far less likely th...
A detailed history, physical examination, supine and upright blood pressure measurements, and standard ECG comprise the initial diagnostic workup (Linzer et al., 1997, Brignole et al., 2001). Subsequently, cardiology examinations with long-term ECG, echocardiography, and tilt testing with isoprotereno...
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Kapoor WN. Workup and management of patients with syncope. Med Clin North Am 79:1153, 1995 Kapoor WN. Is there an effective treatment for neurally mediated syncope ? JAMA 289, 17, 2272-2275, 2003 Linzer, M., et al. (1997). "Diagnosing syncope. Part 1: Value of history, physical ex...
Figure 1. Systematic Work-Up for PE Among Patients Presenting With Syncope to the ED All patients were assessed for the presence of pulmonary embolism (PE) with the use of a validated approach that incorporates clinical pre-test probability for PE using the Wells score and the results of D-...
The workup of syncope should initially focus on history, physical examination, and baseline electocardiogram (ECG) as the presence of structural heart disease can usually be elicited or ruled out on the basis of those three elements. A primary goal in the management of syncope is the prevention...
A detailed account of the event and a medical history direct the workup. Combining a thorough physical examination that emphasizes the cardiovascular and neurologic systems with selective laboratory tests and noninvasive diagnostic studies may reveal why the patient lost consciousness during his or her ...
what should be included in an emergent diagnostic workup for syncope? EKG, CMP Hx: event, personal, family when is neuroimaging indicated for syncope? -syncope with focal neuro deficits (weakness, difficulty speaking, loss of sensation)-if head trauma occurred during convulsive movement what are ...