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Chapter-06 Syncope

BOOK TITLE: The Protocol Book for Intensive Care

Author

1. Kumar Soumitra
2. Banerjee Sulagna
3. Ranjan Vivek

ISBN

9789352703050

DOI

10.5005/jp/books/14144_7

Edition

5/e

Publishing Year

2018

Pages

Author Affiliations

1. Vivekananda Institute of Medical Sciences, Kolkata, India, Fortis Hospitals, Kolkata, West bengal, India, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India, Fortis Hospital, Rabindranath Tagore International Institute of Cardiac Sciences, and Sri Aurobindo Seva Kendra, Kolkata, West Bengal, India
2. Ramakrishna Mission Seva, Pratishthan, Kolkata, India, Ramakrishna Mission Seva Pratishthan, Kolkata, India, Ramakrishna Mission Seva Pratishthan, Kolkata, West Bengal, India
3. Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India

Chapter keywords

Syncope, neurally mediated syncope, cardiovascular mediated syncope, orthostatic syncope, tilt-table test, carotid sinus massage, vasovagal syncope

Abstract

Abstract

Syncope refers to the specific pathophysiology involving a transient loss of consciousness and postural tone as a result of cerebral hypoperfusion, with spontaneous and complete recovery and no neurologic sequelae. Neurally mediated syncope, cardiovascular mediated syncope, and orthostatic syncope are different causes of syncope. Syncope in an athletic patient is a common symptom but should always raise the possibility of cardiac pathology. Although most cases of syncope in athletic are reflex syncope and considered benign. A detailed discussion on causes, tilt-table test, key points in history, differentiation of seizures from true syncope and treatment of syncope has been also provided in this chapter.

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