19 - fall and collapse

Question 1

What is syncope?

Some causes….there are loads so just a couple

Answer 1

LOC

Decrease in blood flow to the brain, usually hypotension or other cardiac causes (valvular disease, arrhythmia)
Some, like dissection or PE can be fatal.
Vasovagal – vagus nerve related.
Don’t forget psychogenic

Question 2

Initial Ix in syncope

Answer 2

ECG + bloods

Question 3

When might you have a permanent pacemaker put in?

Answer 3

for sick sinus, AF, long QT, congenital heart disease, some cardiac transplants.