Síncope

  1. V. Palazuelos Molinero 1
  2. D. Micheloud Giménez 1
  3. J.A. Nuevo González 1
  4. I. Muñoz Roldán 1
  1. 1 Servicio de Urgencias. Hospital General Universitario Gregorio Marañón
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2015

Título del ejemplar: Urgencias: Urgencias cardiovascualares. Reanimación cardiopulmonar

Serie: 11

Número: 87

Páginas: 5195-5200

Tipo: Artículo

DOI: 10.1016/J.MED.2015.09.012 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Objetivos de desarrollo sostenible

Resumen

Syncope is one of the most prevalent diseases for which there is consultation in Primary Care and Emergency services. This is a picture of sudden and unexpected appearance, so often be a very frightening process for both the patient and for the health workers, and often initially studied in the Emergency services. Although most are benign, there is a small percentage that indicate a serious underlying problem, usually from cardiac causes, which can go as far between 6 to 30% of syncope requiring longer studies, and generate many doubts when making a decision to the responsible physician. This update addresses the most common and the most serious causes and its management are treated and how risk stratification to adopt the most appropriate measures according to each patient.

Referencias bibliográficas

  • Moya-i-Mitjans Á, Rivas-Gándara N, Sarrias-Mercè A, Pérez-Rodón J, Roca-Luque I. Syncope. Rev Esp Cardiol (Engl Ed). 2012;65(8):755-65.
  • Brignole M, Menozzi C, Bartoletti A, Giada F, Lagi A, Ungar A, et al. A new management of syncope: prospective systematic guideline-based evaluation of patients referred urgently to general hospitals. Eur Heart J. 2006;27(1):76-82.
  • Farwell D, Freemantle N, Sulke N. The clinical impact of implantable loop recoders in patients with syncope. Eur Heart J. 2006;27:351-6.
  • Quinn J, McDermott D, Stiell I, Kohn M, Wells G. Prospective validation of the San Francisco Syncope Rule to predict patients with serious outcomes. Ann Emerg Med. 2006;47:448-54.
  • Quinn J, McDermott D, Kramer N, Yeh C, Kohn MA, Stiell I, et al. Death after emergency department visits for syncope: how com-mon and can it be predicted? Ann Emerg Med. 2008;51:585-90.
  • Krediet CT, Parry SW, Jardine DL, Benditt DG, Brignole M, Wieling W. The history of diagnosing carotid sinus hypersensitivity: why are the cu-rrent criteria too sensitive? Europace. 2011;13:14-22.
  • Flammang D, Church TR, De Roy L, Blanc JJ, Leroy J, Mairesse GH, et al. Treatment of unexplained syncope: a multicenter, randomized trial of cardiac pacing guided by adenosine 5’-triphosphate testing. Circulation. 2012;125:31-6.
  • Brignole M, Vardas P, Hoffman E, Huikuri H, Moya A, Ricci R, et al. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace. 2009;11:671-87.
  • Furukawa T, Maggi R, Bertelone C, Ammirati F, Santini M, Ric-ci R, et al. Effectiveness of remote monitoring in the management of syncope and palpitations. Europace. 2011;13:431-7.