Shared Flashcard Set

Details

Cardio-ICM
Eval of Syncope
13
Medical
Graduate
09/28/2010

Additional Medical Flashcards

 


 

Cards

Term
Etiologies of Syncope
Definition
Neural, Orthostatic, Cardiac, Structural
Term
Mimics of Syncope
Definition
Alcohol, Hypoglycemia, Hyperventilation, Seizures, Sleep Disorder, Somatization, Trauma
Term
Important Points in a Syncope History
Definition
Define Circumstances: Symptoms, Eyewitness, Meds, Sequelle
Concomitant Diseases
Family History: Cardiac Disease
Past Medical: Cardiac, Neurological, Prior
Term
Worst/Best prognosis of Syncope Types
Definition
Worst: Cardiac
Best: Neurological
Term
Types of Neurally Mediated Syncope
Definition
Situational, Carotid Sinus Syndrome, Vasovagal
Term
Treatment of Vasovagal Syncope
Definition

Acute: Physical Manuevers

Long Term: Tilt training, Support hosery, Decrease Risk

Drugs: Fludrocortisone, B-Block, SSRIs, Vasoconstritors

Term
Bezold-Jarish Reflex
Definition
C-Fiber activation through medulla nucleus tractus soltaris and nucleus ambiguus
Term
Provoking Techniques in the tilt table test
Definition
Isoproterenol, Nitroglycerin, Carotid Sinus Massage
Term
What are the contraindications to Carotid Sinus Massage
Definition
Bruits, Recent MI
Term
Diagnosis of Carotid Sinus Syndrome
Definition
>50mmHg drop in BP or >3 sec Asystole after carotid sinus massage
Term
When is the Tilt Test typically used
Definition
Identifying Prodrome for a Patient
Diagnose Atypical Syncope
Term
What percent of of patients with unelpained syncope have arrhythmias
Definition
22%
Term
What is the most common type of syncopy
Definition
Vasovagal Syncope
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