18 results
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
First, is it syncope ... from other causes ... Common causes of ... #Causes #Differential ... #Algorithm #Ddxof
Causes of Syncope #Diagnosis #EM #IM #Neuro #Syncope #Differential #Algorithm #Ddxof
Causes of Syncope ... EM #IM #Neuro #Syncope ... #Differential #Algorithm ... #Ddxof
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
bradycardia • Sinus pauses ... • AV block ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table #Causes
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Syncope - Differential ... percentage of syncopal ... Brady (Sick sinus, AV ... block) • Tachy ... differential #diagnosis #causes
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... O - Obstructed AV ... is obstructed AV ... , can be caused ... characteristically cause
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
• First degree AV ... with syncope • ... RBBB/LBBB with syncope ... • Reversible causes ... of AV block -
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... assoc with 1K, AV ... Wong @mchlwng #Syncope ... #Syndromes #ECG
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Framework Reflex Syncope ... bradycardia, Sinus pauses ... , AV block • Tachyarrhythmias ... Cerebrovascular Syncope
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... 2nd/3rd degree AV ... Block • Pacemaker ... #causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... rhythms (5) AV ... 200ms from longer pause ... block (lower AV ... bradyarrhythmia #ECG