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%
|
|