Syncope and Transient Loss of Consciousness

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.

Syncope is one of the most important causes of transient loss ofconsciousness, and is such a common event that it may beencountered by practitioners in virtually any field of medicine. Assuch, a broad spectrum of healthcare professionals may be involvedin its assessment and management.Edited by distinguished individuals whose pioneering work insyncope highlights careers devoted to improving patient care, thisbook provides:* Succinct, practical and up-to-date guidance on the optimalclinical evaluation and treatment of patients with syncope andtransient loss of consciousness in a multidisciplinaryframework* Evidence-based recommendations founded on comprehensiveliterature review and extensive clinical experience by expertcontributors* Meaningful clinical tips for appropriate use of guidelinesin clinical practice* Key recent citationsBuilding on the European Society of Cardiology SyncopeGuidelines, this book provides a clear evaluation of the latestrecommendations for care of patients with syncope and transientloss of consciousness, with a multidisciplinary focus that makes itequally relevant for general physicians or those specializing incardiology or neurology.

Contributors.Preface.Part 1 Syncope and TLOC overview.1 Definition and classification of syncope and transient.loss of consciousness.Jean-Jacques Blanc.2 Epidemiologic aspects of transient loss ofconsciousness/syncope.Robert S Sheldon, Anna Serletis.3 Pathophysiology of syncope: postural, neurally-mediated,.and arrhythmic.W Wieling.4 Cerebral perfusion in syncope.J Gert van Dijk, Roland D Thijs.5 Risk stratification--impact on diagnostic strategy.Brian Olshansky.Part 2 Clinical evaluation strategies.6 Value and limitations of clinical history in assessing causeof syncope.Paolo Alboni, Maurizio Dinelli.7 Emergency department evaluation of transient loss ofconsciousness/.syncope.Franc¸ois P Sarasin.8 The essential autonomic assessment for evaluating the.cause of syncope.Carlos A Morillo, Juan C Guzman.9 Neurally-mediated reflex syncope: recognition by historyand.clinical testing.Anna Serletis, Robert S Sheldon.10 Value and limitations of ambulatory electrocardiographicmonitoring.Andrew D Krahn.11 Recording ambulatory blood pressure in the syncope and.TLOC evaluation.Dietrich Andresen.12 Electrophysiologic testing: value and limitations in thetransient loss of.consciousness/syncope evaluation.Suneet Mittal.13 Intolerance to upright posture in autonomic failure and thepostural.tachycardia syndrome: assessment and treatment strategies.Christopher J Mathias.14 Improving tolerance to upright posture: current status oftilt-training.and other physical maneuvers.Hugo Ector, Tony Reybrouck.15 Syncope in patients with bundle-branch block and otherconduction.system abnormalities.Angel Moya.Part 3 Specific conditions.16 Treatment strategies in neurally-mediated reflex syncope:effectiveness of.drugs, pacing, and physical maneuvers.Richard Sutton.17 Structural heart disease, syncope, and risk of sudden death:selection of.patients for implantable cardioverter-defibrillator therapy.Kathy L Lee, Hung-Fat Tse, Chu-Pak Lau.18 Channelopathies as a cause of syncope.T Boussy, Pedro Brugada.19 Distinguishing seizures and pseudosyncope from syncope.Adam P Fitzpatrick.20 Syncope and transient loss of consciousness in children andadolescents:.congenital and acquired conditions.Hugh Calkins.21 Transient loss of consciousness, syncope, and falls in theelderly.Rose Anne Kenny.22 Drug-induced (iatrogenic) syncope.Gerald V Naccarelli.Part 4 Economic and research aspects.23 Syncope and the competitive athlete: recommendations forevaluation.and permission to compete.Franco Giada, Antonio Raviele (Ospedale Umberto I).24 Role of syncope management units.Win K Shen, Michele Brignole (Ospedali del Tigullio).25 The impact of syncope and transient loss of consciousnesson.quality of life.Blair P Grubb.Part 5 Current controversies and future directions.26 Driving and flying restrictions for the syncope and/orimplanted.cardiac device patient.Christina M Murray, Dwight W Reynolds.27 Clinical trials landscape: what's new, what'songoing, what do.we need.Michele Brignole (Ospedali del Tigullio), David G Benditt(University of Minnesota Medical School), Wouter Wieling (AcademicMedical Centre).28 Syncope and transient loss of consciousness:multidisciplinary.management.A John Camm.29 Syncope practice guidelines initiative.David G Benditt (University of Minnesota Medical School).Appendix: syncope consortium members.Index