which is the treatment of choice for syncope?

What is the best treatment for syncope?

How do doctors treat syncope?

What drug is administered for syncope?

What is the treatment for NCS?

How do you test for syncope?

What are the 4 classifications of syncope?

What are beta blockers?

What is fludrocortisone acetate used for?

Can beta blockers cause syncope?

How can syncope be prevented?

What are the 2 types of syncope?

How is NCS diagnosed?

Medications

Medications are prescribed to control atrial rhythm (e.g., flecainide, propafenone, sotalol, amiodarone) or ventricular rate (e.g., digoxin, beta blockers, calcium channel blockers) or underlying disease.

Procedures, Devices & Surgery

The goal for treating syncope is to reduce the frequency and severity of your symptoms. For some patients, medications and surgical intervention are necessary to reach that goal. Examples of surgical therapies include:

What is the goal of a syncope history?

The goal of the history should be to determine prognosis, diagnosis, reversible factors, comorbidities, medication use, and individual and family needs . Historically, factors associated with a cardiac cause of syncope include age older than 60 years, ...

Can ECG help with syncope?

Electrocardiography. Based on moderate-quality evidence from nonrandomized studies, resting 12- lead electrocardiography (ECG) can be beneficial in patients initially presenting with syncope by providing information on possible causes; however, findings on ECG have not been shown to significantly affect treatment.

How does risk stratification help with syncope?

Risk stratifying patients who present with syncope can guide treatment and avoid morbidity and mortality , according to moderate-quality evidence from nonrandomized studies. Long-term prognosis is based on treatment effectiveness and the severity of the underlying condition and comorbidities, whereas short-term prognosis is typically associated with the cause of syncope and whether it can be treated. Therefore, in addition to determining the cause, the risk of short- and long-term morbidity and mortality should be outlined. If a cause is unclear, risk stratification for short-term outcomes can aid in making immediate treatment decisions.

What is the difference between long term and short term prognosis?

Long-term prognosis is based on treatment effectiveness and the severity of the underlying condition and comorbidities, whereas short-term prognosis is typically associated with the cause of syncope and whether it can be treated. Therefore, in addition to determining the cause, the risk of short- and long-term morbidity ...

Is natriuretic peptide a good test for syncope?

Measurement of brain natriuretic peptide and high-sensitivity troponin may be useful in patients with a possible cardiac cause of their syncope, but it has modest value for predicting major adverse cardiovascular events. Routinely performing comprehensive laboratory testing is not beneficial in syncope evaluation.

Is exercise good for syncope?

Stress Testing. Exercise stress testing may be beneficial in determining a cause of syncope related to exertion, according to lower-quality studies; however, caution should be taken when performing stress testing, and proper advanced life support must be available.

Is exercise stress testing good for syncope?

Exercise stress testing may be beneficial in determin ing a cause of syncope related to exertion, according to lower-quality studies; however, caution should be taken when performing stress testing, and proper advanced life support must be available.

What is the cornerstone of vasovagal syncope?

The cornerstone of therapy for young patients with vasovagal syncope remains education and reassurance, except in rare and isolated cases of patients with a high frequency of recurrent episodes despite nonpharmacological measures. In the elderly, specific treatment is often necessary.

Is vasovagal syncope a recurrent event?

Vasovagal syncope is a common cause of recurrent syncope. Clinically, these episodes may present as an isolated event with an identifiable trigger, or manifest as a cluster of recurrent episodes warranting intensiv e evaluation. The mechanism of vasovagal syncope is incompletely understood.

What is the C type of nerve fiber?

Vagal c -type nerve fibers connect the heart with the brainstem. Within the brainstem vagal neurons are stimulated and the activity of cells of the sympathetic nervous system is depressed. Activation of this reflex mechanism provokes bradycardia, vasodilatation and hypotension.

What is the best medicine for vasovagal syncope?

A drug called fludrocortisone acetate that's normally used to treat low blood pressure may be helpful in preventing vasovagal syncope. Selective serotonin reuptake inhibitors also may be used. Therapies. Your doctor may recommend ways to decrease the pooling of blood in your legs.

How to diagnose vasovagal syncope?

Diagnosis. Diagnosing vasovagal syncope often begins with a physical examination. During the physical exam, your doctor will listen to your heart and take your blood pressure. He or she may also massage the main arteries in your neck to see if that causes you to feel faint. Your doctor may also recommend several tests to rule out other possible ...

What tests are done to see if you have a fainting spell?

Blood tests. Your doctor may look for conditions, such as anemia, that can cause or contribute to fainting spells. Tilt table test. If no heart problems appear to cause your fainting, your doctor may suggest that you undergo a tilt table test.

How to tell if you're fainting?

What you can do 1 Write down details of your symptoms, including any triggers that may have caused you to faint. 2 Make a list of any medications, vitamins and supplements you're taking. 3 Write down questions you want to ask your doctor, including questions about potential tests and treatments.