SYN
COPE
2018 ESC Guidelines
for the diagnosis and management of syncope
TRANSIENT
UNRESPONSIVE
UNAWARE
UNCONTROLLED
due to cerebral hypoperfusion
.1
definition
.2
initial eval
.3
tests
.4
rx
HeartRhythmBox
Transient Loss of Consciousness (T-LOC)
TRANSIENT
short duration; <5mins
UNRESPONSIVE
no response to speech/touch/pain. required witness.
UNAWARE
loss of memory.
UNCONTROLLED
fall, abnormal movement.
Cardiac Arrest is not T-LOC.
not
transient
not
spontaneously recovered
Drunken or Alcohol
Intoxication is not T-LOC.
not
transient
not
totally unconscious
Cataplexy is not T-LOC.
unresposive and uncontrolled
but
fully aware
Causes of T-LOC
Syncope
TLOC due to cerebral hypoperfusion
Epileptic Seizures
Psychogenic
psychogenic pseudosyncope or psychogenic non-epileptic seizures
Head Trauma
Pathophysiological Basis of Syncope
Cardiac Syncope
Reflex Syncope
Orthostatic Hypotension