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Frailty - Mx Syncopal Falls - Coggle Diagram
Frailty - Mx Syncopal Falls
Definition
Frailty
A condition or syndrome which results from a multi-system reduction in reserve capacity to the exten that a number of physiological systems are close to or past the threshold of symptomatic cliical failure
As a consequence the frail person is at increased risk of disability and death from mino external stresses
Epidemiology
Age of first Syncope
More than one mechanism common in older people
Neurally mediated
Arrythmia
Orthostatic hypotenion
Cardiac structural disease
Frailty
Causes of Syncope
Vasovagal syncope - exa
Provoked
Postural
Prodromal
Classifications
Reflex
Vasovagal reflex
Cardiac
Arrythmia
Structural
Orthostatic Hypotension
Inadequate venous return
Venous pooling
Volume depletion
Structural damage ANS
Autonomic failure 1ndary and 2ndary
5 Cardinal Features of Clinical Frailty
Weight loss
Weakness (hand grip strength)
Slowness (gait speed reduction)
Low physical activity
Exhaustion
Tools for Frailty
Physical fraitly phenotype
The Syncope-Falls Index
Frailty Defined by Deficit Accumulation and Geriatric Medicine DEfined by Frailty