The ECG in the figure was obtained from a young adult who presented to the emergency department with dizziness, a near syncopal episode, and chest discomfort. Does this ECG suggest AV block is the cause of his symptoms?
Falls in patients older than 65 years of age are an increasingly common presentation in U.S. emergency departments, and intricate knowledge and confidence in the evaluation and management of these patients is vital.
These investigators found that adding witness-reported observations to patient demographics and patient-reported symptoms improved the diagnostic accuracy between epilepsy, syncope, and psychogenic nonepileptic seizures.
Relying on the most current literature, this article discusses the causes of syncope and syncope mimics, provides the best practice evaluation strategies, and will refamiliarize emergency physicians with current state-of-the-art practices regarding syncope risk stratification guidelines.
Children may present to the emergency department with a potential syncopal event. Although the presentation is unusual, everyone fears missing a cardiac issue. The authors present a concise review, focusing on the history, physical exam, and ECG, of how to evaluate and manage a child with syncope, differentiating other mimics and discussing the current therapeutic approach to the most common diagnosis.
A recent review of clinical features of patients with syncope found that pulmonary embolism may be one of the most common causes, and thus should be considered by all physicians who are evaluating such patients.