Evaluation of syncope

Última revisão: 9 Apr 2025
Última atualização: 05 Jan 2024

Resumo

Diagnósticos diferenciais

comuns

  • Acute coronary syndrome
  • Ventricular arrhythmias
  • Atrioventricular block
  • Acute atrial fibrillation
  • Congestive heart failure
  • Volume depletion
  • Sinus node dysfunction
  • Aortic stenosis
  • Upper gastrointestinal bleeding
  • Lower gastrointestinal bleeding
  • Neurally mediated
  • Orthostatic hypotension
  • Migraine
  • Seizure
Detalhes completos

Incomuns

  • Wolff-Parkinson-White syndrome/preexcitation syndrome
  • Cardiac tamponade
  • Aortic dissection
  • Pulmonary embolism
  • Ruptured abdominal aortic aneurysm
  • Brugada syndrome
  • Long QT syndrome
  • Hypertrophic cardiomyopathy
  • Arrhythmogenic right ventricular cardiomyopathy
  • Mitral stenosis
  • Atrial myxoma
  • Cardiac sarcoidosis
  • Paroxysmal supraventricular tachycardia
  • Subclavian steal syndrome
  • Implantable cardiac device malfunction
  • Ectopic pregnancy
  • Hypoglycemia
  • Addison disease
  • Vertebrobasilar transient ischemic attack
  • Subarachnoid hemorrhage
  • Psychogenic pseudosyncope
Detalhes completos

Colaboradores

Autores

Shamai Grossman, MD, MS

Associate Professor of Medicine and Emergency Medicine

Harvard Medical School Department

Vice Chair for Health Care Quality

Director, Observation Medicine

Beth Israel Deaconess Medical Center

Boston

MA

Declarações

SG is an author of a reference cited in this topic.

Christopher Fischer, MD

Chair, Assistant Professor

Mount Auburn Hospital,

Harvard Medical School

Boston

MA

Declarações

CF is an author of a reference cited in this topic.

Agradecimentos

Dr Shamai Grossman and Dr Christopher Fischer would like to gratefully acknowledge Dr Sanjeev Wasson, Dr Sarabjeet Singh and Dr Nishant Kalra, the previous contributors to this topic. SS and NK declare that they have no competing interests.

Revisores

David Leaf, MD, MPH

Professor of Medicine

VA Greater Los Angeles Healthcare System

UCLA School of Medicine

Los Angeles

CA

Declarações

DL declares that he has no competing interests.

Sanjiv Petkar, MBBS, MD, DM (Cardiology), MRCP

Consultant Cardiologist

Heart and Lung Centre

New Cross Hospital

Wolverhampton

UK

Declarações

SP has received funds for attending conferences, and fees for speaking and consultation, from Medtronic Inc. SP was also in receipt of funding for research, between 2007 and 2009, from Medtronic Inc. to the University of Manchester. SP was a Guideline Development Group member of the National Institute for Health and Care Excellence (formerly National Institute for Clinical Excellence) guidelines on transient loss of consciousness ('blackouts') management in adults and young people, published in August 2010.

Nicholas Gall, MSc, MD, FRCP

Consultant Cardiologist

Department of Cardiology

King's College Hospital

London

UK

Declarações

NG declares that he has no competing interests.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Shen WK, Sheldon RS, Benditt DG, et al. 2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society. Circulation. 2017 Aug 1;136(5):e60-122.Texto completo  Resumo

Brignole M, Moya A, de Lange FJ, et al. 2018 ESC guidelines for the diagnosis and management of syncope. Eur Heart J. 2018 Jun 1;39(21):1883-948.Texto completo  Resumo

Antzelevitch C, Brugada P, Borggrefe M, et al. Brugada syndrome: report of the Second Consensus Conference. Heart Rhythm. 2005 Apr;2(4):429-40. Resumo

American College of Radiology. ACR appropriateness criteria: syncope​. 2020 [internet publication].Texto completo

Artigos de referência

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