In many cases of syncope (30–40%), the underlying etiology remains unclear even after an exhaustive diagnostic workup has been completed. [1][12][13]Cardiovascular studies [1][24] Consider the following in consultation with a cardiologist in patients with high-risk features or suspected ...
Synopsis: In patients admitted to the hospital for a first episode of syncope, workup for pulmonary embolism should be included, despite alternative explanations for the syncopal episode. Pulmonary embolism was identified in nearly 1 of every 6 patients hospitalized for syncope. Source: Prandoni...
Amin: You are a little more concerned that patients who fall into medium- or high-risk categories might have something cardiac in nature that needs further workup in the hospital. As hospitalists, we are always asking, “Do I need to keep this patient here?” If we are able to plug d...
Amin: You are a little more concerned that patients who fall into medium- or high-risk categories might have something cardiac in nature that needs further workup in the hospital. As hospitalists, we are always asking, “Do I need to keep this patient here?” If we are able to plug d...
The impact of diagnostic tests in evaluating patients with syncope. We reviewed the charts of 100 patients admitted to the hospital for evaluation of syncope. The charts were examined with special attention given to the causes of syncope, the frequency and benefit of diagnostic tests, and the rel...
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Thus the statistics about syncope from the ED, likely overestimate the danger of syncope in general. That being said, syncope also accounts for roughly 1-3% of all emergency room visits (Kapoor, 1990; Soteriades et al, 2002; Moya et al, 2009) and 6% of all hospital visits. Between 71 ...
The patient declined workup that involved invasive procedures such as trans-catheter balloon valvuloplasty or coronary angiography. In May 2022, he developed another syncopal episode but this time at rest. He also developed hyperorality, which involved eating more frequent meals. The family described...
An 18-year-old man woke up at high altitude and experienced impaired vision and amnesia for a 45-minute period together with disorientation, headache, and nausea. He was admitted to hospital, but discharged with a diagnosis of a probable stress reaction. Two months later he was readmitted with...
Syncope is a frequent reason for medical consultation and hospital admission and is associated with high health service useand costs.1 ,2 From the pathophysiological standpoint, syncope is a transient loss of consciousness due to transient global cerebral hypoperfusionand can be the final common pathwa...