Keywords:
Culprit
Cerebral Hypoperfusion
Hypovolemia
Etiology
Cerebral Hypoperfusion
Culprit
Hypovolemia
Etiology
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Cerebral Hypoperfusion
Blackout
Presentation (obstetrics)
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Etiology
Cerebral Hypoperfusion
Unconsciousness
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Cerebral Hypoperfusion
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Culprit
Cerebral Hypoperfusion
Hypovolemia
Etiology
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Syncope is a transient loss of consciousness due to cerebral hypoperfusion, characterised by rapid onset, short duration and spontaneous complete recovery. The causes range from self-limiting episodes of reflex syncope to conditions that can precede severe illness or death. GPs often provide the first assessment of patients with syncope and this article aims to guide the assessment of these patients to help identify the cause. This will include exploring the common causes of syncope, history taking, examination, investigations, red flags in syncope and management.
Cerebral Hypoperfusion
Unconsciousness
Limiting
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Cerebral Hypoperfusion
Presentation (obstetrics)
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Abstract Syncope is a transient loss of consciousness due to cerebral hypoperfusion (reduced blood flow through the brain). Thirty percent of older persons who have syncope are unaware of loss of consciousness and the majority of events are not witnessed. In these cases, the patient presents with non-accidental/unexplained falls (Parry SW et al., 2005). Many of these events are not recognised. Given that most causes of syncope can be treated and further events prevented, the new ESC guidelines for syncope recommends inclusion of falls in syncope risk stratification (Brignole M et al., 2018) in older patients. These new risk stratification recommendations will be reviewed coupled with new prevalence and comorbidity information for falls in community samples and the long term consequences of hypotensive syndromes on cerebral function.
Risk Stratification
Cerebral Hypoperfusion
Accidental
Consciousness Disorders
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Blackout
Cerebral Hypoperfusion
Presentation (obstetrics)
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Blackout
Cerebral Hypoperfusion
Presentation (obstetrics)
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