Syncope

  • Jodi L. Zilinski
  • Stephan B. Danik
  • Stephan B. Danik
Chapter

Abstract

The word “syncope” is derived from the Greek syn, meaning “with” and koptein meaning “to cut off/interrupt”. The use of the word syncope to describe the abrupt “cutting off” of consciousness has been in place for hundreds of years. No matter what term patients use: syncope, fainting, drop attacks, or spells is used, the concept transient loss of consciousness followed by spontaneous recovery has been, is and always will be a common issue for cardiologists to diagnose and manage. Many causes of syncope are outside the scope of cardiology. Due to the inherent life-threatening nature of many cardiac causes of syncope, it is important for the cardiologist to be well versed on the topic.

Keywords

Fatigue Catheter Hydration Ischemia Dementia 

Abbreviations

ACE-I

Angiotensin converting enzyme inhibitor

ARVC

Arrhythmogenic right ventricular cardiomyopathy

AS

Aortic stenosis

AV

Atrioventricular

BB

Beta blocker

BP

Blood pressure

bpm

Beats per minute

CAD

Coronary artery disease

CCB

Calcium channel blocker

CEA

Carotid endarterectomy

CHF

Congestive Heart Failure

CSM

Carotid Sinus Massage

CT

Computed Tomography

DBP

Diastolic blood pressure

ECG

Electrocardiogram

EEG

Electroencephalogram

EF

Ejection Fraction

HOCM

Hypertrophic obstructive cardiomyopathy

HR

Heart rate

ICD

Implantable cardioverter defibrillator

LOC

Loss of consciousness

MI

Myocardial infarction

MRI

Magnetic Resonance Imaging

MS

Mitral stenosis

NMS

Neurally mediated syncope

NSVT

Non-sustained ventricular tachycardia

PCM

Physical counter-pressure maneuvers

PE

Pulmonary embolus

POTS

Postural orthostatic tachycardia syndrome

PS

Pulmonic stenosis

PVR

Peripheral vascular resistance

RV

Right ventricle

SBP

Systolic blood pressure

SCD

Sudden cardiac death

SHD

Structural heart disease

SSS

Sick sinus syndrome

SVT

Supraventricular tachyarrhythmia

TIA

Transient Ischemic Attack

VF

Ventricular fibrillation

VT

Ventricular tachycardia

WPW

Wolff-Parkinson-White

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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Jodi L. Zilinski
    • 1
  • Stephan B. Danik
    • 2
  • Stephan B. Danik
    • 3
  1. 1.Harvard Medical School Cardiology Division, Department of MedicineMassachusetts General HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA
  3. 3.Experimental Electrophysiology Laboratory, Cardiac Arrhythmia Service, Cardiology Division, Department of MedicineMassachusetts General HospitalBostonUSA

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