Arrhythmic syncope : From diagnosis to management
Francisco Pascual, Jaume (Hospital Universitari Vall d'Hebron)
Jordan Marchite, Pablo (Hospital Universitari Vall d'Hebron)
Rodríguez Silva, Jesús (Hospital Universitari Vall d'Hebron)
Rivas-Gándara, Nuria (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Date:	2023
Abstract:	Syncope is a concerning symptom that affects a large proportion of patients. It can be related to a heterogeneous group of pathologies ranging from trivial causes to diseases with a high risk of sudden death. However, benign causes are the most frequent, and identifying high-risk patients with potentially severe etiologies is crucial to establish an accurate diagnosis, initiate effective therapy, and alter the prognosis. The term cardiac syncope refers to those episodes where the cause of the cerebral hypoperfusion is directly related to a cardiac disorder, while arrhythmic syncope is cardiac syncope specifically due to rhythm disorders. Indeed, arrhythmias are the most common cause of cardiac syncope. Both bradyarrhythmia and tachyarrhythmia can cause a sudden decrease in cardiac output and produce syncope. In this review, we summarized the main guidelines in the management of patients with syncope of presumed arrhythmic origin. Therefore, we presented a thorough approach to syncope work-up through different tests depending on the clinical characteristics of the patients, risk stratification, and the management of syncope in different scenarios such as structural heart disease and channelopathies.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Arrhythmia ; Atrioventricular conduction block ; Electrophysiological study ; Loop recorder ; Myocardiopathy ; Syncope
Published in:	World Journal of Cardiology, Vol. 15 (april 2023) , p. 119-141, ISSN 1949-8462

DOI: 10.4330/wjc.v15.i4.119
PMID: 37124975

24 p, 4.6 MB

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