175 results
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Syncope - Differential ... percentage of syncopal ... Aortic stenosis • HOCM ... Others Non-syncopal ... Unknown - 2% #syncope
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Framework Reflex Syncope ... Aortic stenosis, HOCM ... , PE Syncope Mimics ... Cerebrovascular Syncope
HOCM on POCUS Echocardiogram (A4C)

85 yo s/p syncope. Here is the POCUS showing significant septal hypertrophy!
HOCM on POCUS Echocardiogram ... A4C) 85 yo s/p syncope ... diagnosed with HOCM ... MaimoUltrasound #HOCM
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Syncope in 3 Steps ... • Pump > AS, HOCM ... amyloidosis and other #Syncope
Risk Factors for Sudden Cardiac Death in Patients with Hypertrophic Cardiomyopathy
 - Sudden death in a
Recent, unexplained syncope ... Cardiomyopathy #HOCM
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
Temporal Lobe Pre-syncope ... Arrhythmia, AS/HOCM
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
assessment in Syncope ... (consider AS, HOCM ... missed in the syncope ... elevation Now syncope ... and exertional syncope
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... and short PR HOCM ... Wong @mchlwng #Syncope
Contrast dyes are divided into three groups based on their osmolarity.  High-osmolar contrast medium (HOCM),
contrast medium (HOCM ... contrast medium (LOCM ... contrast medium (IOCM
Recommended Therapeutic Approach to the Patient with Hypertrophic Cardiomyopathy (HOCM)
ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blockers;
Cardiomyopathy (HOCM ... #HOCM #HcM #Hypertrophic