Syncope Flashcards Preview

Hugh's MD2 Foundation > Syncope > Flashcards

Flashcards in Syncope Deck (13):
1

Which is more likely to have a prodrome, vasovagal or cardiac syncope?

Vasovagal

 

2

When do should you be more concerned, a completely new syncope or a syncope on the background of many years of previous syncopes?

New syncopes

2

What is diaphoresis? What type of syncope might have it?

Profuse sweating

Vasovagal

2

What does a prolonged QT reflect?

A prolonged relative refractory period

3

What conditions predispose someone to exertion related syncope?

Aortic stenosis

Hypertrophic obstructive cardiaomyopathy

4

What arrhythmias are at risk of occurring in a patient with a prolonged QT interval?

VF and VT

5

What is the relative refractory period?

Period during diastole (and ventricular repolarisation) in which a abnormal stimuli could initiate an abnormal ventricular contraction

7

What would do in the case of a patient with syncope and dyspnoea?

Investigate the dyspnoea as a cause of the syncope

9

Why isn't a fall syncope?

No loss of consciousness

10

Why might urinating precipitate a syncope?

Straining > valsalva > increase intraabodominal and intrathoracic pressure > reduced venous return > reduced CO > syncope

11

What does a delta wave reflect?

Wolf-Parkinson-White syndrome

12

Define syncope

Abrupt and transient loss of consciousness

Loss of postural tone

Complete and rapid recovery

Benign and self limited

 

13

What are some differentials for the cause of a syncope?

Vasovagal syncope

Cardiac syncope - AS, HOCM, WPW

Seizure

Fall

TIA/Stroke

PE