Syncope
True Syncope
Age
Younger Adults
Older Adults
Carotid Sinus Hypersensitivity (Neurally-Mediated)
Cardiac Syncope
Vasovagal Syncope (Neurally-Mediated)
Orthostatic
Syncope mimics
Seizures
Metabolic
Psychogenic
Acute Intoxication
patients presenting with syncope require electro-
cardiography, orthostatic vital signs, and QT interval monitoring
Patients with cardiovascular disease, abnormal electrocardiogra- phy, or family history of sudden death, and those presenting with unexplained syncope should be hospitalized for further diagnos- tic evaluation
unexplained syncope, further testing such as echocardiography, grade exercise testing, electrocardiographic monitoring, and electrophysiologic studies may be required
Arrhythmia / Pacemaker dysfunction
Obstructive cardiomyopathy (Hypertrophic cardiomyopathy)
Structural disease (cardiac)
Aortic stenosis
Pulmonary stenosis
Acute myocardial infarction/ischemia
Structural disease (other)