Abstract
Syncope is a dysfunction of the autonomic nervous system that is characterized by the loss of vasoconstrictor tone, and is classified into three major causes. Its high prevalence currently generates a certain degree of uncertainty, mainly in the recognition of patients with life-threatening etiologies. That´s why the importance of a detailed initial assessment of syncope by the attending physician, in order to identify the underlying cause of the syncopal episode for its precise approach.
Keywords
References
Lindow T, Pahlm O, Baranchuk A. Bradycardia-Induced Syncope With a Twist. JAMA Internal Medicine. 2019 05 01;179(5):702. https://doi.org/10.1001/jamainternmed.2019.0104
Albassam O, Redelmeier R, Shadowitz S, Husain A, Simel D, Etchells E. Did This Patient Have Cardiac Syncope? JAMA 2019; 321(24):2448-2457. https://doi.org/10.1001/jama.2019.8001
Thiruganasambandamoorthy V, Kwong K, WellsG, Sivilotti M, Mukarram M, Rowe B, Lang E, Perry J, Sheldon R, Stiell, Taljaard M. Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ, 2016;188(12) pp: 289-297. https://doi.org/10.1503/cmaj.151469
Benditt D. Reflex syncope in adults and adolescents: Clinical presentation and diagnostic[Internet]. Waltham, MA: Kowey P, Downey B; 28 Mar,2019 [Consultado el 14 Nov 2019]. Disponible en: https://www.uptodate.com
Runser L, Gauer R, Houser A. Syncope: Evaluation and Differential Diagnosis. Am Fam Physician. 2017;95(5):303-312. Disponible en. https://www.aafp.org/afp/2017/0301/p303-s1.html
Fox MC, Lakdawala N, Miller AL, Loscalzo J. A Patient with Syncope. New England Journal of Medicine. 2013 09 05;369(10):966-972. https://doi.org/10.1056/nejmcps1300093
Kelly DM, Costello DJ. Can syncope cause convulsive seizures in adults?. Clinical Autonomic Research. 2017 06 30;27(4):283-287. https://doi.org/10.1007/s10286-017-0443-5
Weiner RB, Hucker WJ, Meyersohn NM, Dudzinski DM, Stone JR. Case 25-2018: A 63-Year-Old Man with Syncope. Cabot RC, Rosenberg ES, Pierce VM, Dudzinski DM, Baggett MV, Sgroi DC, Shepard JO, Castillo AY, McDonald EK, Ebeling SH. New England Journal of Medicine. 2018 08 16;379(7):670-680. https://doi.org/10.1056/nejmcpc1800340
Kabrhel C, Rempell JS, Avery LL, Dudzinski DM, Weinberg I. Case 29-2014. Cabot RC, Rosenberg ES, Harris NL, Shepard JO, Cort AM, Ebeling SH, McDonald EK. New England Journal of Medicine. 2014 09 18;371(12):1143-1150. https://doi.org/10.1056/nejmcpc1403307
Walsh KE, Baneck T, Page RL, Brignole M, Hamdan MH. Psychogenic pseudosyncope: Not always a diagnosis of exclusion. Pacing and Clinical Electrophysiology. 2018 03 31;41(5):480-486. https://doi.org/10.1111/pace.13316
Alexander B, Haseeb S, Baranchuk A. Syncope in a Patient With Wolff-Parkinson-White Pattern. JAMA Internal Medicine. 2019 03 01;179(3):418.. https://doi.org/10.1001/jamainternmed.2018.7646
Wylie J. Brugada syndrome: Clinical presentation, diagnosis, and evaluation[Internet]. Waltham, MA: Manaker S, Downey B; 04 Oct,2019 [Consultado el 14 Nov 2019]. Disponible en: https://www.uptodate.com
Immink R, Pott F, Secher N, van Lieshout J. Hyperventilation, cerebral perfusion, and syncope. J Appl Physiol 2014 (116): 844-851. https://doi.org/10.1152/japplphysiol.00637.2013
Benditt D. Syncope in adults: Clinical manifestations and diagnostic evaluation. [Internet]. Waltham, MA: Kowey P, Downey B; 21 Agos,2019 [Consultado el 13 Nov 2019]. Disponible en: https://www.uptodate.com
Christou GA, Christou KA, Christou EA, Kiortsis DN. Can Noncardiac Syncope Occur during Exercise?. Cardiology. 2017;138(3):159-163. https://doi.org/10.1159/000475835
Kohno R, Koene R, Sarcia P, David G. Benditt D. Acute onset autonomic dysfunction and orthostatic syncope as an early manifestation of HIV infection. Clin Auton Res (2018) 28:127-129. https://doi.org/10.1007/s10286-017-0461-3
Benditt D. Syncope in adults: Management[Internet]. Waltham, MA: Kowey P, Downey B; 28 Mar,2019 [Consultado el 13 Nov 2019]. Disponible en: https://www.uptodate.com
Lindow T, Pahlm O, Baranchuk A. Bradycardia-Induced Syncope With a Twist. JAMA Internal Medicine. 2019 05 01;179(5):702. https://doi.org/10.1001/jamainternmed.2019.0104