| Cardiac syncope. | |
| | |
MedLine Citation:
|
PMID: 23153208 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Clinicians who diagnose and manage epilepsy frequently encounter diagnoses of a nonneurological nature, particularly when assessing patients with transient loss of consciousness (T-LOC). Among these, and perhaps the most important, is cardiac syncope. As a group, patients with cardiac syncope have the highest likelihood of subsequent sudden death, and yet, unlike sudden unexpected death in epilepsy (SUDEP) for example, it is the norm for these tragic occurrences to be both easily predictable and preventable. In the 12 months following initial presentation with cardiac syncope, sudden death has been found to be 6 times more common than in those with noncardiac syncope (N Engl J Med 309, 1983, 197). In short, for every patient seen with T-LOC, two fundamental aims of the consultation are to assess the likelihood of cardiac syncope as the cause, and to estimate the risk of future sudden death for the individual. This article aims to outline for the noncardiologist how to recognize cardiac syncope, how to tell it apart from more benign cardiovascular forms of syncope as well as from seizures and epilepsy, and what can be done to predict and prevent sudden death in these patients. This is achieved through the assessment triad of a clinical history and examination, risk stratification, and 12-lead electrocardiography (ECG). |
| | |
Authors:
|
Joseph Anderson; Peter O'Callaghan |
Related Documents
:
|
9316538 - Cardiac troponin i levels are normal or minimally elevated after transthoracic cardiove... 21542098 - Bilateral coronary ostial stenoses post-bentall procedure causing hemodynamic collapse ... 16543388 - The antibody configurations of cardiac troponin i assays may determine their clinical p... 21336538 - Current state of ventricular assist devices. 7353678 - Left ventricular wall stress and aortic input impedance. 14533288 - Cardiac arrest due to ventricular fibrillation as a complication occurring during rigid... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Epilepsia Volume: 53 Suppl 7 ISSN: 1528-1167 ISO Abbreviation: Epilepsia Publication Date: 2012 Dec |
Date Detail:
|
Created Date: 2012-11-16 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 2983306R Medline TA: Epilepsia Country: United States |
Other Details:
|
Languages: eng Pagination: 34-41 Citation Subset: IM |
Copyright Information:
|
Wiley Periodicals, Inc. © 2012 International League Against Epilepsy. |
Affiliation:
|
The Alan Richens Epilepsy Unit, University Hospital of Wales, Cardiff, United Kingdom Department of Cardiology, University Hospital of Wales, Cardiff, United Kingdom. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Why are antiepileptic drugs used for nonepileptic conditions?
Next Document: Donor-Acceptor Complexation and Dehydrogenation Chemistry of Aminoboranes.