By Roberto García-Civera, Gonzalo Barón-Esquivias, Jean-Jacques Blanc, Michele Brignole, Angel Moya i Mitjans, Ricardo Ruiz-Granell, Wouter Wieling
This e-book provides a different selection of medical circumstances to assist strive against the trouble of prognosis and therapy of Syncope. doctors utilizing this booklet are supplied with a connection with a wide array of succinctly defined and illustrated medical eventualities. each one case is gifted with the result of acceptable exams and important reviews concerning the overview, prognosis and therapy based on guidelines.Syncope is taken into account a tricky diagnostic and remedy challenge for all who paintings within the box. despite your past wisdom, you'll find the case stories effortless to digest, enlightening, and instantly pertinent to bettering the care sufferers – supplying you with self assurance on your analysis and your advice.The editors have built a full of life and easy-to-read publication with a concentrated professional editorial observation, delivering the reader a broader and simply understood context for every case, in addition to key citations from the literature.Syncope circumstances is a helpful contribution in your assortment; edited via seven in demand experts at the administration of syncope from 4 international locations, with greater than one hundred thirty participants, this publication offers a distinct extra step within the fostering of a higher knowing of the various components which can reason syncope, with the final word aim of facilitating the supply of extra distinctive and in your price range take care of syncope sufferers. it's a contribution that are supposed to be largely learn, and person who bargains the opportunity of incredibly bettering remedy of the syncope sufferer.
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Extra info for Syncope Cases
Example text
7 Benke T, Hochleitner M, Bauer G. Aura phenomena during syncope. Eur Neurol 1997; 37: 28–32. 8 Colman N, Nahm K, van Dijk JG, Reitsma JB, Wieling W, Kaufmann H. Diagnostic value of history taking in reflex syncope. Clin Auton Res 2004; 14 (Suppl 1): 1/37–1/44. 4 CASE 4 Transient loss of consciousness with muscle jerks: syncope or epilepsy? W. A. G. van Dijk Case report A 35-year-old otherwise healthy engineer was referred to the syncope unit for analysis of an episode of loss of consciousness, which had occurred during a return flight from a week-long holiday in Turkey.
A few minutes after the administration of sublingual nitroglycerin (NTG), there is a progressive decrease in the arterial blood pressure, initially with a marked increase in heart rate, followed by a decrease in both. The systolic arterial blood pressure falls to 55 mmHg and the heart rate falls to 50 beats/min. The patient lost consciousness with seizures (Scp) and was returned to the Trendelenburg position (T). After this, consciousness recovered and arterial blood pressure increased. with a drug-free phase of 20 min, followed by the administration of 400 μg of nitroglycerin [2].
On arrival at the airport, he was checked by ambulance personnel and found to have a normal heart rate, blood pressure and blood glucose level. Physical and neurological examinations and electrocardiography (ECG) analysis at the Emergency Department of the Academic Medical Center in Amsterdam showed no abnormalities, and he was referred to the syncope unit. The patient denied having had any earlier episodes of loss of consciousness. However, during visits to hospitals and while watching television programs with surgical scenes he had sometimes had a tendency to feel weak.