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9780470691724

Syncope and Transient Loss of Consciousness: Multidisciplinary Management

by ; ; ;
  • ISBN13:

    9780470691724

  • ISBN10:

    0470691727

  • Format: eBook
  • Copyright: 2008-06-01
  • Publisher: Wiley-Blackwell
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Summary

Syncope is one of the most important causes of transient loss of consciousness, and is such a common event that it may be encountered by practitioners in virtually any field of medicine. As such, a broad spectrum of healthcare professionals may be involved in its assessment and management. Edited by distinguished individuals whose pioneering work in syncope highlights careers devoted to improving patient care, this book provides: * Succinct, practical and up-to-date guidance on the optimal clinical evaluation and treatment of patients with syncope and transient loss of consciousness in a multidisciplinary framework * Evidence-based recommendations founded on comprehensive literature review and extensive clinical experience by expert contributors * Meaningful clinical tips for appropriate use of guidelines in clinical practice * Key recent citations Building on the European Society of Cardiology Syncope Guidelines, this book provides a clear evaluation of the latest recommendations for care of patients with syncope and transient loss of consciousness, with a multidisciplinary focus that makes it equally relevant for general physicians or those specializing in cardiology or neurology.

Table of Contents

Contributors
Preface
Syncope and TLOC overview
Definition and classification of syncope and transient loss of consciousness
Epidemiologic aspects of transient loss of consciousness/syncope
Pathophysiology of syncope: postural, neurally-mediated, and arrhythmic
Cerebral perfusion in syncope
Risk stratification-impact on diagnostic strategy
Clinical evaluation strategies
Value and limitations of clinical history in assessing cause of syncope
Emergency department evaluation of transient loss of consciousness/syncope
The essential autonomic assessment for evaluating the cause of syncope
Neurally-mediated reflex syncope: recognition by history and clinical testing
Value and limitations of ambulatory electrocardiographic monitoring
Recording ambulatory blood pressure in the syncope and TLOC evaluation
Electrophysiologic testing: value and limitations in the transient loss of consciousness/syncope evaluation
Intolerance to upright posture in autonomic failure and the postural tachycardia syndrome: assessment and treatment strategies
Improving tolerance to upright posture: current status of tilt-training and other physical maneuvers
Syncope in patients with bundle-branch block and other conduction system abnormalities
Specific conditions
Treatment strategies in neurally-mediated reflex syncope: effectiveness of drugs, pacing, and physical maneuvers
Structural heart disease, syncope, and risk of sudden death: selection of patients for implantable cardioverter-defibrillator therapy
Channelopathies as a cause of syncope
Distinguishing seizures and pseudosyncope from syncope
Syncope and transient loss of consciousness in children and adolescents: congenital and acquired conditions
Transient loss of consciousness, syncope, and falls in the elderly
Drug-induced (iatrogenic) syncope
Economic and research aspects
Syncope and the competitive athlete: recommendations for evaluation and permission to compete
Role of syncope management units
The impact of syncope and transient loss of consciousness on quality of life
Current controversies and future directions
Driving and flying restrictions for the syncope and/or implanted cardiac device patient
Clinical trials landscape: what's new, what's ongoing, what do we need
Syncope and transient loss of consciousness: multidisciplinary management
Syncope practice guidelines initiative
Appendix: syncope consortium members
Index
Table of Contents provided by Publisher. All Rights Reserved.

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