Syncope Flashcards

Q: What is the most common cause of syncope in children? A: Vasovagal (neurocardiogenic) syncope - accounts for >75% Tags: syncope, causes, high-yield

Q: What features suggest vasovagal syncope? A: Prodrome (lightheadedness, nausea, diaphoresis), triggers (prolonged standing, heat), post-exertion Tags: syncope, vasovagal, high-yield

Q: What RED FLAGS suggest cardiac syncope? A: Exertional syncope, no prodrome, family history SCD <50, palpitations preceding, chest pain, abnormal cardiac exam Tags: syncope, red-flags, high-yield

Q: What is exertional syncope most concerning for? A: HCM, LQTS, CPVT, AAOCA, aortic stenosis Tags: syncope, exertional, high-yield

Q: What ECG findings warrant urgent evaluation in syncope? A: QTc prolongation, WPW, Brugada pattern, HCM pattern, T-wave inversions Tags: syncope, ecg

Q: What is the initial workup for syncope with red flags? A: ECG (mandatory), echo, consider Holter/event monitor, exercise stress test Tags: syncope, workup

Q: What is treatment for vasovagal syncope? A: Hydration, salt supplementation, counter-pressure maneuvers, avoid triggers; rarely medications Tags: syncope, treatment

Q: What is tilt-table testing used for? A: Diagnosing vasovagal syncope - rarely needed if history classic Tags: syncope, tilt-table

Q: What differentiates convulsive syncope from seizure? A: Convulsive syncope: brief (<30s), no post-ictal confusion, triggered, prodrome present Tags: syncope, seizure, differential