Resumo
Diagnósticos diferenciais
comuns
- Síndrome coronariana aguda
- Arritmias ventriculares
- Bloqueio atrioventricular
- Fibrilação atrial aguda
- Insuficiência cardíaca congestiva
- Depleção de volume
- Disfunção do nó sinusal
- Estenose aórtica
- Hemorragia digestiva alta
- Hemorragia digestiva baixa
- Neuromediada
- Hipotensão ortostática
- Enxaqueca
- Convulsão
Incomuns
- Síndrome de Wolff-Parkinson-White/síndrome de pré-excitação
- Tamponamento cardíaco
- Dissecção da aorta
- Embolia pulmonar
- Aneurisma roto da aorta abdominal
- Síndrome de Brugada
- Síndrome do QT longo
- Cardiomiopatia hipertrófica
- Cardiomiopatia arritmogênica do ventrículo direito
- Estenose mitral
- Mixoma atrial
- Sarcoidose cardíaca
- Taquicardia supraventricular paroxística
- Síndrome do roubo da subclávia
- Funcionamento inadequado de dispositivo cardíaco implantável
- Gravidez ectópica
- Hipoglicemia
- Doença de Addison
- Ataque isquêmico transitório vertebrobasilar
- Hemorragia subaracnoide
- Pseudossíncope psicogênica
Colaboradores
Autores
Shamai Grossman, MD, MS
Associate Professor of Medicine and Emergency Medicine
Harvard Medical School
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
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
American College of Radiology. ACR appropriateness criteria: syncope. 2020 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diretrizes
- Transient loss of consciousness ('blackouts') in over 16s
- Heart valve disease presenting in adults: investigation and management
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