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Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Differential Diagnosis ... from other causes ... precipitating events ... Common causes of ... #Causes #Differential
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Syncope - Differential ... events secondary ... Sick sinus, AV block ... #differential # ... diagnosis #causes
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
frequently benign causes ... (ruling out differential ... serious adverse events ... and an initial ECG ... In many cases, syncope
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... • AV block ... Medication side effect (e.g ... #Differential # ... Classification #Table #Causes
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... patient, going ... , can be caused ... characteristically cause ... #EKG #ECG #Diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... Wong @mchlwng #Syncope ... #Syndromes #ECG ... electrocardiogram #differential
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 ... #Differential #
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
66 yo with syncope ... Tachycardia This ECG ... bundle branch block ... pattern going quite ... -LearnTheHeart ECG
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Diagnosis and Causes ... ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... /3rd degree AV Block ... Tachy-Brady Syndrome #Syncope ... #Cardiology #Differential ... Diagnosis #Algorithm #causes