Syncope CT

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Syncope Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Syncope from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X ray

CT

MRI

Echocardiography

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2] Sara Zand, M.D.[3]

Overview

CT scan is useful when other modalities are inconclusive for evaluation of structural heart disease in the presence of syncope (Class2b, 2017AHA/ACC/HRS guideline). If syncope is suspected due to pulmonary thromboembolism,pulmonary CT angiography is recommended.

CT Scan

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope[1]

Cardiac Imaging

Class IIb
Computed tomography (CT) may be useful in selected patients presenting with syncope of suspected cardiac etiology. (Level of Evidence:B) [2]"

References

  1. Shen, Win-Kuang; Sheldon, Robert S.; Benditt, David G.; Cohen, Mitchell I.; Forman, Daniel E.; Goldberger, Zachary D.; Grubb, Blair P.; Hamdan, Mohamed H.; Krahn, Andrew D.; Link, Mark S.; Olshansky, Brian; Raj, Satish R.; Sandhu, Roopinder Kaur; Sorajja, Dan; Sun, Benjamin C.; Yancy, Clyde W. (2017). "2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". Circulation. 136 (5). doi:10.1161/CIR.0000000000000499. ISSN 0009-7322.
  2. Probst, Marc A.; Kanzaria, Hemal K.; Gbedemah, Misato; Richardson, Lynne D.; Sun, Benjamin C. (2015). "National trends in resource utilization associated with ED visits for syncope". The American Journal of Emergency Medicine. 33 (8): 998–1001. doi:10.1016/j.ajem.2015.04.030. ISSN 0735-6757.