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Evaluation and Management of Syncope

  • Chapter
Management of Cardiac Arrhythmias

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Syncope, defined as the transient loss of consciousness and postural tone with spontaneous recovery, has fascinated, challenged, and often frustrated physicians for millennia. Indeed, the first clinical description of syncope comes from Hippocrates (the “father of medicine”), and it is from the Greek that the medical term for fainting is taken (syncopen—“to cut short”). Both a sign and a symptom, syncope can result from a bewildering array of quite varied disorders ranging from the benign and self-limited, to an indication of a serious chronic disease or a potentially fatal disorder. Perhaps no other condition so challenges the diagnostic acumen of the practitioner. This chapter reviews the epidemiology of syncope, outlines a practical approach to the evaluation of syncope, and briefly outlines the major causes of syncope, focusing on autonomic disturbances.

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Authors
  1. Blair P. Grubb MD
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  2. Daniel Kosinski MD
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Editors and Affiliations

  1. Cardiovascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Leonard I. Ganz MD

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Grubb, B.P., Kosinski, D. (2002). Evaluation and Management of Syncope. In: Ganz, L.I. (eds) Management of Cardiac Arrhythmias. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-090-2_10

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  • DOI: https://doi.org/10.1007/978-1-59259-090-2_10

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