Syncope – individual patient management

    Authors

    Keywords

    syncope, procedures, nursing care

    DOI

    https://doi.org/10.15836/ccar2016.559

    Full Text

    Any sudden, momentary loss of consciousness, due to circulatory disturbances in the brain is called syncope. (1) The management should be started as soon as possible after the event. As more time passes since the episode, the harder it is to determine the diagnosis. (2) If the syncope results in injury or it recurs especially in a short period of time, a more extensive elaboration and management is needed. A medical history provided by witnesses is useful and must be obtained as soon as possible. In patients with suspected arrhythmia, myocarditis or ischemia as a cause of syncope, hospitalization is required. Other patients can be managed ambulatory. The diagnosis of syncope is set on the basis of medical history, physical examination, electrocardiogram, continuous monitoring and additional non-invasive and invasive procedures. The treatment is individual, and depends on the cause of syncope. In our presentation, we will highlight the importance of nurses in the management of the patient during the process of determining the diagnosis and treatment.

    Literature

    1. Al-Zaiti SS, Pelter MM, Kozik TM, Carey MG. Syncope With Profound Bradycardia. Am J Crit Care. 2016;25(3):281–2. https://doi.org/10.4037/ajcc2016648
    2. Dietz NM, Joyner MJ, Shepherd JT. Vasovagal syncope and skeletal muscle vasodilatation: the continuing conundrum. Pacing Clin Electrophysiol. 1997;20:775–80. https://doi.org/10.1111/j.1540-8159.1997.tb03903.x
    Cardiologia Croatica
    Back to search

    Syncope – individual patient management

    Extended Abstract
    Issue10-11
    Published
    Pages559
    PDF via DOIhttps://doi.org/10.15836/ccar2016.559
    syncope
    procedures
    nursing care

    Authors

    Marina Klasan*ORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Doris IvetacORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia
    Vesna BabićORCIDUniversity Hospital Centre Rijeka, Rijeka, Croatia

    *Correspondence email: klasan.m@gmail.com

    Full Text

    Any sudden, momentary loss of consciousness, due to circulatory disturbances in the brain is called syncope. (1) The management should be started as soon as possible after the event. As more time passes since the episode, the harder it is to determine the diagnosis. (2) If the syncope results in injury or it recurs especially in a short period of time, a more extensive elaboration and management is needed. A medical history provided by witnesses is useful and must be obtained as soon as possible.

    In patients with suspected arrhythmia, myocarditis or ischemia as a cause of syncope, hospitalization is required. Other patients can be managed ambulatory. The diagnosis of syncope is set on the basis of medical history, physical examination, electrocardiogram, continuous monitoring and additional non-invasive and invasive procedures. The treatment is individual, and depends on the cause of syncope.

    In our presentation, we will highlight the importance of nurses in the management of the patient during the process of determining the diagnosis and treatment.

    Literature

    1. 1.
      Al-Zaiti SS, Pelter MM, Kozik TM, Carey MG. Syncope With Profound Bradycardia. Am J Crit Care. 2016;25(3):281–2.DOI
    2. 2.
      Dietz NM, Joyner MJ, Shepherd JT. Vasovagal syncope and skeletal muscle vasodilatation: the continuing conundrum. Pacing Clin Electrophysiol. 1997;20:775–80.DOI