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Syncope

Causes
Clinical features
Investigations
Therapy
Prognosis
Causes

Note:

Common causes of syncope include vasovagal syncope and arrhythmias

cause medical referral b emergency department b elderly in a long-term care facility b young c
cardiovascular cause 25% 21%   3%
- arrhythmia     7%  
  -- any tachyarrhythmia   7%    
  -- ventricular tachycardia 11%      
  -- supraventricular tachycardia 2%      
  -- bradycardia, 2nd or 3rd degree heart block 3% 11%    
  -- sick-sinus syndrome 3%      
- aortic stenosis 2% 1% 5%  
- carotid sinus syndrome   2%-24%    
- pulmonary embolism   1%    
neurological cause   14%    
- seizure disorder 2% 3% to 9% 3%  
- transient ischaemic attacks 2% 11%    
         
non-cardiovascular cause 33% 35%    
- vasovagal syncope 8% 30% to 70%   12%
- situational syncope 8% 3.5%   3%
  -- micturition   2%    
  -- defecation     5%  
  -- post-prandial     8%  
- orthostatic hypotension 10% 6% to 37% 6% 2%
  -- drug-induced syncope 2%   11% 0%
  -- volume depletion   3% 4%  
- hypoglycaemic   0.5% to 2%    
- psychiatric 0.7% 0.6% to 6%   39%
- unknown 41% 14% to 38% 26% 33%
 

Expiry date: June 2004
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   W N   Kapoor
CAT Writers   CM   Ball , B   Phillips , CJ   Wotton