Page 203 - 2021 IDMT Digital
P. 203
SYNCOPE
Introduction:
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• 6SHFLILF FDXVHV DUH FRPPRQO\ HOXVLYH RQO\ RI WKH WLPH LV D UHDVRQ LGHQWLILHG
• +LVWRU\ LV WKH PRVW LPSRUWDQW IDFWRU LQ LGHQWLI\LQJ D FDXVH
o 9DJDO
o +\SRYROHPLD
o $UUK\WKPLD
o Structural heart disease
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FRQVFLRXVQHVV
• 5HG )ODJV
o 6\QFRSH ZLWK H[HUWLRQ
o 0XOWLSOH UHFXUUHQFHV ZLWKLQ D VKRUW WLPH
o +HDUW PXUPXU RU RWKHU ILQGLQJV VXJJHVWLQJ KHDUW GLVHDVH
o &KHVW SDLQ
Subjective:
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o $EUXSW LQ RQVHW WUDQVLHQW
o 0D\ OHDG WR RWKHU LQMXU\
• )RFXVHG +LVWRU\
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o )RRG LQWDNH
o +LVWRU\ RI JO\FHPLF GLVRUGHUV
o /LJKWKHDGHGQHVV SULRU WR HYHQW
o 1DXVHD SULRU WR HYHQW
o +LVWRU\ RI FDUGLDF GLVHDVH
o 0HGLFDWLRQV
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH VHW RI YLWDO VLJQV LQFOXGLQJ RUWKRVWDWLF YLWDO VLJQV
o 6NLQ PD\ EH FRRO FODPP\
o &DUGLDF H[DP PD\ GLVSOD\ DUUK\WKPLDV
o 1HXURORJLFDO H[DP PD\ GLVSOD\ DOWHUHG /2& DQG VHL]XUH OLNH DFWLYLW\
• 7RROV
o (.*
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