5781 results
REBEL Review 100: Canadian Syncope Risk Score 

Predisposition to Vasovagal Symptoms (-1)
History of Heart Disease (1)
Any
Predisposition to Vasovagal ... > 480 ms (2) Vasovagal ... stratification #diagnosis
Syncope - Cerebral hypoperfusion leading to transient lsos of consciousness causing alck of postural tone with
Differential Diagnosis ... 24%) • Reflex (vasovagal ... #differential #diagnosis
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
syncope (due to vasovagal ... The diagnostic approach ... out differential diagnoses ... Further diagnostics ... reflexsyncope #vasovagal
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Too much para > vasovagal ... #differential #diagnosis
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
(eg Menière's, vasovagal ... vestibular #syndrome #diagnosis
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
- Differential Diagnosis ... Reflex Syncope: • Vasovagal ... #Differential #Diagnosis
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
- Differential Diagnosis ... Neurally-mediated 66% • Vasovagal ... #differential #diagnosis
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
- Differential Diagnosis ... Orthostatic hypotension, Vasovagal ... #Differential #Diagnosis
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Neurocardiogenic: • Vasovagal ... #Differential #Diagnosis
Canadian Syncope Risk Score
The risk tool consists of nine predictors, with the score for each predictor
-3 to +11: - Vasovagal ... > 480 ms - ED diagnosis ... of cardiac or vasovagal ... Stratification #Diagnosis