61. Syncope - Lucile Packard Children's Hospital syncope is a temporary loss of consciousness and muscle tone caused by syncope accounts for 3 percent of emergency room visits and 6 percent of hospital http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/cardiac/syncope.html

Arrhythmia Service/Electrocardiography (ECG) Laboratory Cardiac Catheterization / Angiography Cardiology Cardiothoracic Surgery ... Two Hearts are Better than One for Toddler at Lucile Packard Children’s Hospital at Stanford Cardiovascular Disorders Syncope What is syncope? Syncope is a temporary loss of consciousness and muscle tone caused by inadequate blood supply to the brain. Syncope is better known as fainting. Syncope accounts for 3 percent of emergency room visits and 6 percent of hospital admissions, according to the American Heart Association. What causes syncope? The common reason behind each syncopal or fainting episode is a temporary lack of oxygen-rich (red) blood getting to the brain. However, many different problems can cause a decrease in blood flow to the brain. Types of syncope include: vasovagal syncope The most common type of syncope is called vasovagal syncope. A variety of situations stimulate the vagus nerve, which leads to a slowing of the heart rate and dilation of the body's blood vessels. With a slow heart rate and dilated blood vessels, less blood gets to the brain, and fainting occurs. Pain and emotional stress can trigger vasovagal syncope in susceptible people. This type of syncope can happen more often in some families. orthostatic hypotension Another cause of syncope is orthostatic hypotension. This is a drop in blood pressure that occurs when a person has been standing for a while, or changes from a sitting to a standing position. Blood tends to pool in the legs, keeping a normal amount of blood from being returned to the heart, and thereby preventing a normal amount of blood from leaving the heart and going to the body. A momentary drop in blood flow to the brain occurs, and a person faints.

62. Rural Nurse Organization Clinic Digital Library Lightheadedness, Presyncope and syncope Access document. Chapter 200 Orthostatic Hypotension and syncope Table of contents http://ruralnurseorganization-dl.slis.ua.edu/clinical/neurology/symptoms/syncope

Clinical Resources by Topic: Neurology Syncope Clinical Resources Emergency Pediatrics Geriatrics Clinical Guidelines ... Miscellaneous Resources See also: Neurological Clinical Procedure Resources Cardiovascular Clinical Procedure Resources General Neurology Clinical Resources Syncople Patient/Family Resources The Merck Manual 17th Ed.-1999: Table of contents Chapter 197: Approach to the Cardiac Patient: Table of contents History: Access document Light-headedness, Presyncope and Syncope: Access document Chapter 200: Orthostatic Hypotension and Syncope: Table of contents Orthostatic Hypotension: Access document Syncope: Access document Family Practice Handbook 4th Ed.-2001: Table of contents Chapter 3: Cardiology: Table of contents Syncope: Access document Medicine, Ob/Gyn, Psychiatry, and Surgery (eMedicine): Table of contents Syncope: Access document Carotid Sinus Hypersensitivity: Access document Neurology (eMedicine): Table of contents Syncope and Related Paroxysmal Spells: Access document Emergency Medicine Resources See also General Emergency Medicine Resources Emergency Medicine (eMedicine): Table of contents Syncope: Access document Pediatrics Resources Pediatrics (eMedicine): Table of contents Orthostatic Intolerance: An Overview: Access document Geriatrics Resources See also General Geriatrics Resources Merck Manual of Geriatrics Table of contents Chapter 18. Syncope:

63. Rural Nurse Organization Clinic Digital Library Miscellaneous syncope Patients/Family Resources. MedlinePlus (National Library of Medicine) Health Topics Index. Fainting List of documents http://ruralnurseorganization-dl.slis.ua.edu/patientinfo/neurology/symptoms/sync

Patient/Family Resources by Topic: Neurology Syncope Patient/Family Resources Pediatrics Spanish Miscellaneous See also: General Neurology Patient/Family Resources Syncope Clinical Resources National Institute of Neurological Disorders and Stroke: Homepage Disorders Information: List of documents Syncope: Access document MedlinePlus Medical Encyclopedia: Table of contents Fainting: English Spanish Merck Manual - Second Home Edition Table of contents Section 3. Heart and Blood Vessel Disorders: Table of contents Chapter 21. Symptoms and Diagnosis of Heart and Blood Vessel Disorders Topics: Table of contents Introduction: Access document Symptoms: Access document Light-Headedness and Fainting: Access document Spanish MedlinePlus Medical Encyclopedia: Table of contents Fainting: English Spanish Miscellaneous Syncope Patients/Family Resources MedlinePlus (National Library of Medicine) Health Topics: Index Fainting: List of documents YAHOO - Health:Diseases and Conditions:Neurological Disorders Additional Neurological Disorders resources ( These sites have not been reviewed.

64. Health Library - syncope is a loss of consciousness (fainting) that occurs when blood pressure syncope can be caused by several conditions, but it most often occurs when http://www.ochsner.org/library/healthguide/en-us/support/topic.asp?hwid=sts15320

65. UpToDate Patient Information: Syncope WHAT IS syncope? — syncope is commonly known as fainting. As an example, vasovagal syncope is suspected in a patient who has warning signs of nausea or http://patients.uptodate.com/frames.asp?page=topic.asp&file=hrt_dis/10520

66. UpToDate Evaluation Of The Patient With Syncope GENERAL PRINCIPLES — syncope is the abrupt and transient loss of Although syncope can be a harbinger of a multitude of disease processes and can mimic http://patients.uptodate.com/topic.asp?file=pri_card/4746

67. 13 Syncope Murmur 9 Cough 10 Heart Failure 11 Ascites 12 Pleural Fluid 13 syncope 14 Bradycardia 15 Tachycardia bullet, Heart Murmur. bullet, syncope http://www.vmth.ucdavis.edu/cardio/cases/case13/case13.htm

Case Studies In Small Animal Cardiovascular Medicine Case 13 Primary clinician: Mark D. Kittleson, DVM, PhD , DipACVIM (Cardiology) Signalment 1.5 year old female English bulldog weighing 18.6 kg. Presenting Complaint Heart Murmur Syncope History Daisy was adopted about five months ago at which time the new owners knew she had been previously diagnosed with a heart murmur. A couple months ago, Daisy had an episode in which the owner described as beginning with a choking-like action followed by Daisy falling into lateral recumbency. Daisy remained unconscious for about one minute without movement or defecation/urination. After regaining consciousness, it took Daisy about a day to fully recover to her normal attitude. A second episode occurred last week while Daisy was going down some stairs. The owner was following behind and tried to help her get off the stairs at which time her front legs buckled under her and she remained unconscious for less than one minute. After this episode, she seemed to perk up immediately after the episode and seemed unaffected. During this episode, Daisy's tongue went white, her body was cold, and she urinated. Daisy is fairly active and climbs a long set of stairs to the owner's work everyday without evidence of tiring. She is fed once a day.

68. Introduction: Syncope - WrongDiagnosis.com Introduction to syncope as a medical condition including symptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/s/syncope/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Syncope Next sections Basic Summary for Syncope Prognosis of Syncope Causes of Syncope Symptoms of Syncope ... Diagnostic Tests for Syncope Next chapters: Syringomyelia Tardive Dyskinesia Tethered Spinal Cord Syndrome Todd's Paralysis ... Feedback Introduction: Syncope Syncope: Temporary loss of conciousness or fainting. Syncope: Syncope is the temporary loss of consciousness due to a sudden decline in blood flow to the brain. It may be caused by an irregular cardiac rate or rhythm or by changes of blood volume or distribution. Syncope can occur in otherwise healthy people. The patient feels faint, dizzy, or lightheaded (presyncope), or loses consciousness (syncope). Researching symptoms of Syncope: Further information about the symptoms of Syncope is available including a list of symptoms of Syncope , other diseases that might have similar symptoms in differential diagnosis of Syncope , or alternatively return to research other symptoms in the symptom center Misdiagnosis and Syncope: Research more detailed information about misdiagnosis of Syncope failure to diagnose Syncope underlying causes of Syncope (possibly misdiagnosed), or research

69. Fainting (Syncope) / Dizziness, Cincinnati Children's Hospital Medical Center Fainting (syncope) and dizziness causes, diagnosis and treatment information provided in the Heart Encyclopedia by Cincinnati Children s Hospital Medical http://www.cincinnatichildrens.org/health/heart-encyclopedia/signs/fainting.htm

Home Contact Us Site Map Go to Advanced Search ... Cyanosis Fainting (Syncope) / Dizziness Heart Murmurs Palpitations Cardiac-Related Diagnostic Methods Treatment Options ... Contact Us Signs and Symptoms Fainting (Syncope) / Dizziness Causes, Diagnosis and Treatment Explanation Causes Diagnosis Treatment What is syncope, and is it common? Syncope (fainting) is common during childhood. In one medical study, almost 50 percent of interviewed college students claimed to have fainted at least once in their lifetime. Despite its high frequency, syncope generates a great deal of anxiety among patients and their caregivers, predominantly because of the fear that people with syncope are at risk for sudden death. Return to Top Syncope causes Syncope is caused by a sudden decrease in blood pressure, which temporarily deprives the brain of a sufficient amount of oxygen. Dizziness often occurs before syncope and many patients complain of dizziness without syncope. Syncope has a variety of causes. Occasionally, syncope is caused by a neurologic problem such as a seizure or migraine headache. Other non-cardiac causes of syncope include breath-holding spells, rapid breathing (hyperventilation), hysteria, and exposure to certain drugs or toxins.

70. Syncope: Definition, Synonyms And Much More From Answers.com syn·co·pe ( sing k?pe, sin - ) n. Grammar. The shortening of a word by omission of a sound, letter, or syllable from the middle of the word; for. http://www.answers.com/topic/syncope

showHide_TellMeAbout2('false'); Arts Business Entertainment Games ... More... On this page: Dictionary Thesaurus Medical Term Medical Poetry Glossary WordNet Wikipedia Mentioned In Or search: - The Web - Images - News - Blogs - Shopping syncope Dictionary syn·co·pe sĭng kə-pē, sĭn n. Grammar. The shortening of a word by omission of a sound, letter, or syllable from the middle of the word; for example, bos'n for boatswain. Pathology. A brief loss of consciousness caused by a temporary deficiency of oxygen in the brain; a swoon. See synonyms at blackout [Middle English sincopis , from sincopene , from Late Latin syncopēn , accusative of syncopē , from Greek sunkopē , from sunkoptein , to cut short : sun- , syn- + koptein , to strike.] syn co·pal sĭng kə-pəl, sĭn ) or syn·cop ic sĭn-kŏp ĭk adj. Thesaurus syncope noun A temporary loss of consciousness: blackout faint swoon See awareness/unawareness Medical Term Syncope Syncope: Partial or complete loss of consciousness with interruption of awareness of oneself and ones surroundings. When the loss of consciousness is temporary and there is spontaneous recovery, it is referred to as syncope or, in nonmedical quarters, fainting . Syncope accounts for one in every 30 visits to an emergency room. It is pronounced sin-ko-pea. Syncope is due to a temporary reduction in blood flow and therefore a shortage of oxygen to the brain. This leads to lightheadedness or a "black out" episode, a loss of consciousness. Temporary impairment of the blood supply to the brain can be caused by heart conditions and by conditions that do not directly involve the heart:

71. Syncope, Groupe Pop-Rock Francais, Drôme Ardèche Translate this page Groupe Pop-Rock francais syncope, reprises de variétés Pop-rock française, Drome Ardeche, région de Montélimar, Espeluche, Chomérac, Valence. http://www.eldin.net/syncope/

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72. Syncope Cardiovascular Medicine Symptom Evaluation syncope. http://www.fpnotebook.com/CV288.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Cardiovascular Medicine Symptom Evaluation Vessel ... Carotidynia Assorted Pages Chest Pain Costochondritis Epidemic Pleurodynia Palpitation ... San Francisco Syncope Rule Syncope Faintness Dizziness Near-syncope Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Cardiovascular Medicine Index Arrhythmia Coronary Artery Disease Congestive Heart Failure EKG Endocrinology Examination Ophthalmology Geriatric Medicine Hypertension Infectious Disease Laboratory General Hyperlipidemia Pulmonology Myocardium Neurology Neonatology Obstetrics Pediatrics Pericardium Pharmacology Prevention Procedure Radiology Sports Medicine Surgery Symptom Evaluation Valvular Disease Vessel Page Symptom Evaluation Index Chest Pain Chest Pain Costochondritis Chest Pain Pleurodynia Palpitation Syncope Syncope Vasovagal Syncope Cardioinhibitory Syncope Vasodepressor Vessel Carotidynia See Also Vasovagal Syncope Cardioinhibitory Syncope Vasodepressor Syncope San Francisco Syncope Rule Background More than 36% of syncope cases are idiopathic Causes: Non-Cardiac Causes (57%) Vasodepressor Syncope or Vasovagal Syncope Situational syncope Micturition syncope or with

73. Continuity Clinic Notebook: Syncope In The Pediatric Age-Group Introduction syncope, the loss of consciousness usually due to decreased About half of the patients with syncope have their eyes roll back in their http://www.mcg.edu/pediatrics/CCNotebook/chapter2/syncope.htm

Medical College of Georgia Department of Pediatrics A-Z Index MCG Home Continuity Clinic Notebook: Chapter II. The Evaluation of the Sick Child Chapter 2 Index A. Evaluation by system: 1. General 2. HEENT 3. Cardiopulmonary Heart Murmurs: When to Refer How to Feed Infants with Heart Disease Syncope in the Pediatric Age-Group Introduction: Syncope, the loss of consciousness usually due to decreased cerebral blood flow, is most often seen after the age of 10-12 years, and can be difficult to distinguish from epilepsy. Typically, teenaged girls come into the office after having had a syncopal attack, and it is your job to determine the extent of the workup needed. Symptoms of Syncope: Children will say they feel hot, perspire, and are nauseated before they pass out. About half of the patients with syncope have their eyes roll back in their heads, and even make brief tonic-clonic motions. It is important to remember that these symptoms do not imply seizure activity: there is no postictal state, and, if an EEG is obtained, it will be normal. Differential Diagnosis of Syncope: The exact etiology of syncope is found in about 25% of cases. The rest are considered to be vasovagal reactions.

74. Syncope: Mechanisms And Management - Book Information The second edition of syncope Mechanisms and Management has been completely updated and Chapter 1 syncope An Overview of Evaluation and Management http://www.blackwellpublishing.com/book.asp?ref=1405122072

75. Evaluation And Treatment Of Syncope - Book Information Section four Causes of syncope and syncope mimics, and treatment Chapter 14 Specific causes of syncope their evaluation and treatment strategies http://www.blackwellpublishing.com/book.asp?ref=1405103744

76. Syncope (Fainting) syncope (Fainting) Updated May 6, 2005. Fainting (syncope) Heart Rhythm Society; Fainting (syncope) American Geriatrics Society http://www.noah-health.org/en/bns/disorders/other/syncope.html

Skip navigation About NOAH Help English Spanish Both Advanced NOAH Brain and Nervous System Change text size: Syncope (Fainting) Updated: August 12, 2005 Fainting (Syncope) Heart Rhythm Society Fainting (Syncope) American Geriatrics Society Orthostatic Hypotension NOAH Page Patient Information: Syncope UpToDate Syncope American Heart Association Syncope Merck Manual Syncope Timothy C. Hain, MD Syncope Information Page National Institute of Neurological Disorders and Stroke Researched by NOAH Contributing Editor: NOAH Team NOAH Brain and Nervous System Specific Nervous System Disorders Other Neurological Problems > Syncope (Fainting) Health Topics Index A to Z Page of the Month Advanced Search ... Feedback

77. Neurally Mediated Syncope NDRF provides patient support, medical referral, educational material, newsletters, an online discussion forum and a research protocol database for http://www.ndrf.org/ParoxymalAutonomicSyncope.htm

NDRF National Dysautonomia Research Foundation PO Box 301, Red Wing, MN 55066-0301 Phone: (651) 267-0525 Fax: (651) 267-0524 Be sure to visit the NDRF Reference Page where you can learn more about the NDRF Patient Handbook, Videos and other reference materials. Syncope is a temporary suspension of consciousness due to generalized cerebral ischemia - a reduction in the blood supply to the brain. Syncope is a very common problem that results in approximately six percent of all hospital admissions. Neurally Mediated / Neurocardiogenic Syncope The medical term for fainting is syncope. It comes from the Greek term "syncopa", meaning "to cut short". Syncope can occur due to many reasons, and figuring out the exact cause can be difficult. Over the last several years we have learned a lot about one particular cause of fainting: The disorder now known as neurocardiogenic syncope. Neurocardiogenic syncope is also known as vasovagal syncope or neurally mediated syncope. It describes a transient failure of the brain to adequately regulate the body's blood pressure and heart rate. The exact reasons why this occurs are still unclear, but a basic understanding is evolving. The blood pressure control centers are located in the posterior parts of the brain (the brainstem or medulla). Every time a person stands, gravity pulls blood toward the lower extremities. The brain senses this change and compensates by increasing the heart rate and tightening (constricting) the blood vessels of the legs, forcing blood back upward to the brain. These centers in the brainstem (the autonomic centers), then work as a sort of thermostat to regulate blood pressure. In neurocardiogenic syncope, the system periodically breaks down allowing the blood pressure to fall too low, causing the brain to lose its blood supply resulting in loss of consciousness (fainting).

78. Postgraduate Medicine: Discovering The Cause Of Syncope Although seizure is not a true cause of syncope, it is often a differential diagnostic Cerebrovascular disease is an uncommon cause of syncope. http://www.postgradmed.com/issues/2003/01_03/hauer.htm

Discovering the cause of syncope A guide to the focused evaluation Karen E. Hauer, MD VOL 113 / NO 1 / JANUARY 2003 / POSTGRADUATE MEDICINE CME learning objectives To be able to use findings from the patient history and physical examination to develop an appropriate diagnostic plan for syncope To become familiar with the diagnostic evaluation and management of neurocardiogenic syncope To understand the medical and legal recommendations for driving after syncope The author discloses no financial interests in this article. This page is best viewed with a browser that supports tables. Preview : Syncope has many causes. Although the most common ones are generally benign and do not require extensive evaluation, cardiac syncope has high rates of recurrence and death. In this article, Dr Hauer describes how physical examination and electrocardiographic findings can guide further evaluation to provide the largest diagnostic yield at the lowest cost. Hauer KE. Discovering the cause of syncope. Postgrad Med 2003;113(1):31-38, 95 S yncope is a common problem, accounting for 3% of emergency department visits (1). Evaluation of syncope can be challenging for many reasons. First, syncope is not a diagnosis; rather, it is a symptom with many possible causes. Common causes, such as the vasovagal faint, are not serious. However, other causes are deadly and require further investigation. In addition, the history of a syncopal event often is unclear because the patient has amnesia and there were no witnesses to the event. As many as 45% of cases elude diagnosis after a standard workup, and many tests commonly used in syncope evaluation are costly and have a low diagnostic yield (2,3).

79. Syncope In The Elderly 13% of people who have syncope will have a recurrence in the next year. It is important to make a diagnosis because the cause of syncope has a great effect http://home.uchicago.edu/~adamcifu/syncope.htm

Syncope in the Elderly Epidemiology Incredibly common. In one study a group of 711 pts with an average age of 87 there was an incidence of 6%/year and a prevalence of 23% over 10 years. We need to know about this entity for a number of reasons. Syncope makes up 2-5% of hospital admissions. People who have syncopal episodes have a higher mortality in the following years than those who don’t (in all but the oldest age group). 13% of people who have syncope will have a recurrence in the next year. It is important to make a diagnosis because the cause of syncope has a great effect on mortality. For pts averaging 67 years old the 1 year mortality for pts who left the hospital without a diagnosis or with a diagnosis of non cardiac syncope was 6%, while those with a cardiac cause of had a 19% one year mortality. Pathophysiology Syncope is a sudden temporary loss of consciousness with loss of postural tone and spontaneous recovery. After seizure has been excluded, syncope can be said to result from the transient loss of cerebral blood flow (5-15 sec.). There are four general mechanisms: Decrease in systemic vascular resistance Obstruction to blood flow Arrhythmias Cerebrovascular disease Differences in the Elderly There is a pretty extensive differential for syncope . Something that must be kept in mind is that the elderly are likely to have many chronic illnesses and to be on many medications. This means that syncope can often not be attributed to a single diagnosis but is caused by the combination of many mild disorders. There are also a number of physiologic impairments in the elderly which must be kept in the back of your mind while considering these patients:

80. BHF Any Questions? - Vasovagal Syncope The British Heart Foundation (BHF) is the leading national charity fighting heart and circulatory disease the UK s biggest killer. The BHF funds research, http://www.bhf.org.uk/questions/index.asp?secondlevel=1154&thirdlevel=1205

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