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topic syncope by definition syncope is
transient loss of consciousness and
posture with spontaneous recovery
syncope may be called as fainting or
passing doubt it is usually reviewed to
insufficient blood flow to the brain it
most often occurs when the blood
pressure is too low the transient loss
of consciousness has other differential
diagnosis as well which might be any
metabolic disorder for example habits
emia intoxication at the glycemia it can
be vertebrobasilar transient ischemic
attack or epilepsy as far as diff
oral diagnosis of syncope is concerned
it has a broad differential diagnosis it
may be
neroli mediated syncope which includes
the sava chol syncope carotid sinus
syndrome and situational syncope it may
be orthostatic syncope orthostatic
syncope is usually leave you to fall in
blood pressure after sudden change of
posture
it may be psychogenic syncope causes of
psychogenic syncope are generalized
anxiety disorder panic disorder major
depression substance abuse and
conversion disorder it may be drugs
induce syncope causes of drug-induced
syncope can be divided into the solder
laters for example nitrates ACE
inhibitors and calcium channel blockers
psychoactive drugs for example
phenophase een tricyclic antidepressants
narcotics diuretics others such as de
Jesus quinidine insulin cocaine oral
happy to semuc or it may be cardiac
syncope causes of cardiac syncope may be
further divided into two subtypes number
one structural heart diseases which
includes or text enosis hypertrophic
obstructive cardiomyopathy
if magenta quite ventricular
cardiomyopathy acute myocardial
infarction Mike Sowa or take the section
and pulmonary embolism
number two uh if mere which includes
tachi body syndrome super ventricular
tachycardia ventricular tachycardia and
at Raven tricular block now let's
of syncope management of diseases
includes careful history taking proper
investigations and respective treatment
history and examination would give us
clue about the probable cause of the
syncope few history and examination
points that would help us reaching
diagnosis are as follows in Vasavi call
syncope there will be history of such
episodes after unexpected pain fear or
site in orthostatic syncope there will
be history of passing out after standing
in drug-induced syncope there will be a
clear history of taking a medicine that
prolongs QT interval or caused Bradley
Kavya
in seizure patient will be confused
after the episode and now will be
associated history of urinary
incontinence and tongue bite in
transient ischemic attack patient would
experience diplopia dysarthria or a
focal deficit during that episode after
the proper history taking we will be
able to direct our investigations in the
proper direction after getting
investigations done we would treat the
root cause of syncope now let's briefly
talk about treating the syncope while
treating syncope we assess the patient
initially and look for reversible and
potentially life-threatening causes like
happy glycemia and heart blocks
initial assessment of syncope we'll
start with BLS primary survey protocols
that is assessment of their way
breathing circulation and neurologic
status after going through BLS primary
survey protocols always get ECG and
blood sugar levels of every patient
presenting with syncope
syncope can be a result of many
different disorders to treat and manage
it we need to address the basic root
cause in Vasavi call syncope whew
management steps are as follows reassure
and avoid triggers legs elevation
correction of volume expansion in Harper
glycaemia a rapid intravenous infusion
of 50% dextrose water is given in
cardiac syncope treat the primary
structural heart disorder or a if niacin
myocardial infarction in psychogenic
syncope cancel the patient and consider
axial it aches and into the presence as
pharmacological management thank you for
watching do not forget
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