Page 203 - 2021 IDMT Digital
P. 203

SYNCOPE
          Introduction:
            •  6\QFRSH LV D WUDQVLHQW  VHOI OLPLWHG ORVV RI FRQVFLRXVQHVV  /2&   XVXDOO\ OHDGLQJ WR D IDOO
            •  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
            •  3UH V\QFRSH LV PRUH OLNHO\ DQG SUHVHQWV ZLWK VLPLODU V\PSWRPV ZLWKRXW ORVV RI
               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:
            •  6LJQV DQG 6\PSWRPV
                 o  $EUXSW LQ RQVHW WUDQVLHQW
                 o  0D\ OHDG WR RWKHU LQMXU\
            •  )RFXVHG +LVWRU\
                 o  3UHYLRXV V\QFRSDO HSLVRGHV
                 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  (.*





















                                         [ 202 ]
   198   199   200   201   202   203   204   205   206   207   208