Home > Journals > Minerva Medica > Past Issues > Minerva Medica 2011 June;102(3) > Minerva Medica 2011 June;102(3):223-38

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

  PROGRESS IN CLINICAL PACING 2011 

Minerva Medica 2011 June;102(3):223-38

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Cardiovascular syncope: diagnostic approach and risk assessment

Barsheshet A., Goldenberg I.

Cardiology Division, University of Rochester Medical Center, Rochester, NY, USA


PDF


Cardiovascular syncope, defined as a transient loss of consciousness resulting from a global cerebral hypoperfusion characterized by rapid onset and spontaneous rapid recovery, comprises events due to bradyarrhythmias, tachyarrhythmias, and structural cardiovascular disease. The evaluation of cardiovascular syncope must be careful and thorough as this type of syncope is associated with increased subsequent morbidity and mortality. In this review we provide current data regarding specific causes of cardiovascular syncope, diagnostic approach, risk stratification, and management of patients who experience a syncope event when a cardiovascular disorder is suspected to be a precipitating factor for the syncope event. Multiple risk stratifications studies were carried out to identify patients at high risk for cardiovascular syncope; we provide several prominent examples of such risk stratifications, with special focus on the congenital long QT syndrome (LQTS) as an example of an arrhythmogenic disorder associated with syncope and sudden cardiac death in young individuals without structural heart disease.

top of page