Hemodynamic measurements for evaluating vasovagal syncope in the emergency department
Syncope is a sudden and transient loss of consciousness and postural tone, with spontaneous recovery without medical intervention. It accounts for 1.0% to 1.5% of emergency department (ED) visits and up to 6% of hospital admissions. Vasovagal syncope may be the cause of syncope in 21% to 40% of case...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2015-03-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-14-047.pdf |
| _version_ | 1797897269829173248 |
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| author | Stewart Siu-Wa Chan Junrong Mo Colin Alexander Graham Timothy Hudson Rainer |
| author_facet | Stewart Siu-Wa Chan Junrong Mo Colin Alexander Graham Timothy Hudson Rainer |
| author_sort | Stewart Siu-Wa Chan |
| collection | DOAJ |
| description | Syncope is a sudden and transient loss of consciousness and postural tone, with spontaneous recovery without medical intervention. It accounts for 1.0% to 1.5% of emergency department (ED) visits and up to 6% of hospital admissions. Vasovagal syncope may be the cause of syncope in 21% to 40% of cases. A 53-year-old Chinese woman was brought to the ED by ambulance after a near-syncope episode while performing gentle morning exercises. She was hypotensive and bradycardic in the ambulance. Upon arrival at the ED, her blood pressure was 89/61 mmHg. The use of a Doppler cardiac output monitor readily demonstrated that the patient’s systemic vascular resistance was reduced, with cardiac output at the lower limit of the normal range. These hemodynamic data were useful in supporting the diagnosis of vasovagal syncope; they helped in the risk stratification of our patient with syncope, and guided the management and subsequent disposition decision. |
| first_indexed | 2024-04-10T07:55:56Z |
| format | Article |
| id | doaj.art-f9ef68261edc4e6c80696cfe318d5240 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:55:56Z |
| publishDate | 2015-03-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-f9ef68261edc4e6c80696cfe318d52402023-02-23T05:26:48ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252015-03-0121596210.15441/ceem.14.04734Hemodynamic measurements for evaluating vasovagal syncope in the emergency departmentStewart Siu-Wa Chan0Junrong Mo1Colin Alexander Graham2Timothy Hudson Rainer3Accident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong KongAccident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong KongAccident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong KongAccident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong KongSyncope is a sudden and transient loss of consciousness and postural tone, with spontaneous recovery without medical intervention. It accounts for 1.0% to 1.5% of emergency department (ED) visits and up to 6% of hospital admissions. Vasovagal syncope may be the cause of syncope in 21% to 40% of cases. A 53-year-old Chinese woman was brought to the ED by ambulance after a near-syncope episode while performing gentle morning exercises. She was hypotensive and bradycardic in the ambulance. Upon arrival at the ED, her blood pressure was 89/61 mmHg. The use of a Doppler cardiac output monitor readily demonstrated that the patient’s systemic vascular resistance was reduced, with cardiac output at the lower limit of the normal range. These hemodynamic data were useful in supporting the diagnosis of vasovagal syncope; they helped in the risk stratification of our patient with syncope, and guided the management and subsequent disposition decision.http://www.ceemjournal.org/upload/pdf/ceem-14-047.pdfhemodynamicssyncopeultrasonography, dopplercardiac output |
| spellingShingle | Stewart Siu-Wa Chan Junrong Mo Colin Alexander Graham Timothy Hudson Rainer Hemodynamic measurements for evaluating vasovagal syncope in the emergency department Clinical and Experimental Emergency Medicine hemodynamics syncope ultrasonography, doppler cardiac output |
| title | Hemodynamic measurements for evaluating vasovagal syncope in the emergency department |
| title_full | Hemodynamic measurements for evaluating vasovagal syncope in the emergency department |
| title_fullStr | Hemodynamic measurements for evaluating vasovagal syncope in the emergency department |
| title_full_unstemmed | Hemodynamic measurements for evaluating vasovagal syncope in the emergency department |
| title_short | Hemodynamic measurements for evaluating vasovagal syncope in the emergency department |
| title_sort | hemodynamic measurements for evaluating vasovagal syncope in the emergency department |
| topic | hemodynamics syncope ultrasonography, doppler cardiac output |
| url | http://www.ceemjournal.org/upload/pdf/ceem-14-047.pdf |
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