Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs SVR Heart • Pump > AS, HOCM, PE, pHTN, Tamponade • Fluid > low like Gl loss, shunting like subclavian steal syndrome • Rhythm > fast or slow SVR • Too much para > vasovagal, situational, carotid hypersensitivity and others <3 • Too little sympa > meds, diabetes, Parkinson (+), AL amyloidosis and other #Syncope #differential #diagnosis #mimics
