We report a case of a 75-year-old male with history of lung adenocarcinoma who presented with shortness of breath and frequent episodes of cough-induced syncope. A large pericardial effusion was found on echocardiogram suggestive of cardiac tamponade. Pericardiocentesis was done which improved the dyspnea and eventually resolved the syncope. There are only two other cases reported in the litera...

Recurrent syncope is a common clinical problem. Patients with recurrent syncope frequently undergo extensive investigations that consume significant health care resources. Nevertheless, in a large percentage of patients syncope remains unexplained. The implantable loop recorder is a recognized diagnostic tool that can provide a definitive diagnosis and thus permit specific treatment. We present...

The ESC guidelines on syncope were published in 2001 and updated in 2004. Adherence to the recommendations enables early stratification of low and high risk patients and prevents unnecessary investigations and admissions. Vasovagal syncope (VVS) is the commonest cause of syncope in all age groups and a low risk condition. The study objective was to determine whether the ESC guidelines were adhe...

To obtain epidemiologic information regarding syncope, 2336 men and 2873 women aged 30 to 62 years at entry to the study were evaluated for syncope. During 26 years of surveillance, evidence of cardiac or neurologic morbidity and mortality was also recorded. At least one syncopal episode was reported by 71 (3.0%) of the men and 101 (3.5%) of the women during the course of the study. Criteria fo...

2000;21;201 Pediatrics in Review John Willis Syncope http://pedsinreview.aappublications.org/content/21/6/201 located on the World Wide Web at: The online version of this article, along with updated information and services, is df http://pedsinreview.aappublications.org/http://pedsinreview.aappublications.org/content/21/8/285.full.p An erratum has been published regarding this article. Please s...

BACKGROUND An association between Brugada syndrome and neurally mediated syncope has been described. Although mutations in SCN5A have been identified in Brugada syndrome, the genetic link between Brugada syndrome and neurally mediated syncope has not been determined. OBJECTIVES The purpose of the study was to clinically and genetically characterize a man with recurrent syncope that originally...

Syncope is a common disorder with a lifetime prevalence of about 40%. Implantable cardiac electronic devices, including implantable loop recorders (ILR) and implantable cardioverter-defibrillators (ICD), are well established in syncope management. However, despite the successful use of ILR and ICD, diagnosis and therapy still remain challenging in many patients due to the complex hemodynamic in...

Objective: Syncope is a sudden loss of consciousness with loss of postural tone and spontaneous recovery; it is a common condition, albeit one that is challenging to accurately diagnose. Uncertainties about the triggering mechanisms and their underlying pathophysiology have led to various classifications of patients exhibiting this symptom. This study presents a new way to classify syncope type...

BACKGROUND The cause of syncope remains unknown in 24% to 37% of cases even after standard diagnostic tests. Measuring blood volume may elucidate the mechanisms of syncope in the individual patient and prove helpful in determining optimal therapy. This report includes the largest set of blood volume measurements performed in syncope patients to date. METHODS We performed radioisotopic blood v...

referred urgently to general hospitals. Europace 2003;5:283–291. 9. Brignole M, Menozzi C, Bartoletti A, Giada F, Lagi A, Ungar A, Ponassi I, Mussi C, Maggi R, Re G, Furlan R, Rovelli G, Ponzi P, Scivales A. A new management of syncope: prospective systematic guideline-based evaluation of patients referred urgently to general hospitals. Eur Heart J 2006;27:76–82. 10. Linzer M, Yang EH, Estes NA...