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Published on December 23, 2016 | http://doi.org/10.5867/medwave.2016.6816

Syncope: electrocardiogram and autonomic function tests

Síncope: electrocardiograma y pruebas de función autonómica

William Uribe , Adrián Baranchuk, Federico Botero

Abstract

Syncope represents one of the most frequent reasons for consultation in the emergency department. A proper identification will allow a precise etiologic approach and the optimization of delivery of health resources.
Once knowing the classification of syncope; it is the clinical interrogatory what enables to discriminate which of these patients present with a neurogenic mediated syncope or a cardiac mediated syncope. The use of diagnostic methods such as the tilt test, will clarify what type of neurally mediated syncope predominates in the patient.
The electrocardiogram is the cornerstone in the identification of those patients who had a true episode of self-limited or aborted sudden death as the first manifestation of their syncope, a fact which provides prognostic and therapeutic information that will impact the morbidity and mortality

This work is licensed under a Creative Commons Attribution 4.0 International License. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

Authors

William Uribe

wuribea@une.net.co

Carrera 43 36-02, Torre Norte, Piso 11, Medellín, Colombia

Adrián Baranchuk

Division of Cardiology, Kingston General Hospital, Queen’s University, Kingston, Ontario, Canada

Federico Botero

Universidades CES, Medellín, Colombia

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History

Citation Uribe W, Baranchuk A, Botero F. Syncope: electrocardiogram and autonomic function tests. Medwave 2016;16(Suppl4):e6816 doi: 10.5867/medwave.2016.6816

Submission date 01/01/1970

Acceptance date 01/01/1970

Publication date 23/12/2016

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Notes

Keywords

syncope, neurally mediated faints, tilt table test, postural orthostatic intolerance, electrocardiogram, cardiac event monitor

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