Syncope is defined as a transient loss of consciousness due to cerebral hypoperfusion with spontaneous return to baseline function without intervention. It is a common chief complaint of patients presenting to the emergency department. The differential diagnosis for syncope is broad and the management varies significantly depending on the underlying etiology. In the emergency department, determ...

Syncope, especially in older-age applicants, presents a risk selection quandary. When the etiology is established, risk classification is based on the causative impairment. However, often no diagnosis is ascertained. The lack of diagnosis presents a dilemma for the medical director. Underwriting decisions must be based on sound actuarial principles or related to actual and reasonable anticipate...

References 1. Lipsitz LA: Syncope in the elderly. Ann Intern Med 99: 92-105, 1983 2. Kapoor WN. Karpf M, Maher Y, Miller RA, Levey GS: Syncope of unknown origin. JAMA 247: 2687-2691. 1982 3. Kapoor WN, Karpt M, Wieand S, Peterson JR. Levey GS: A prospective evaluation and follow-up of patients with syncope. N Engl J Med 309: 197-204, 1983 4. Silverstein MD, Singer DE, Mulley AG, Thibault GE, Ba...

Rivastigmine transdermal patch is indicated for patients with Alzheimer's disease and dementia with Parkinson's disease. Rivastigmine, an acetylcholinesterase inhibitor, has several common adverse effects, mainly involving the gastrointestinal tract, but few cardiovascular adverse effects have been reported. This report presents two cases of patients presenting with 3(rd) degree atrioventricula...

Currently, a series of diagnostic tests are available for investigating syncopal episodes. However, in approximately 30% of patients with syncope, the extensive investigations fail to reveal a definite etiology. Recent evidence suggests that a significant portion of these patients may suffer from psychiatric illnesses that lead to recurrent syncope. In the present review, the authors discuss th...

References 1. Lipsitz LA: Syncope in the elderly. Ann Intern Med 99: 92-105, 1983 2. Kapoor WN. Karpf M, Maher Y, Miller RA, Levey GS: Syncope of unknown origin. JAMA 247: 2687-2691. 1982 3. Kapoor WN, Karpt M, Wieand S, Peterson JR. Levey GS: A prospective evaluation and follow-up of patients with syncope. N Engl J Med 309: 197-204, 1983 4. Silverstein MD, Singer DE, Mulley AG, Thibault GE, Ba...

Syncope is the state of lack of consciousness and temporal loss of postural tone. Syncope might be in association with a variety of benign and life-threatening conditions. Pulmonary embolism (PE) has been shown to be associated with syncope in 13-30 percent of cases. This article presents a novel case report of PE whom syncope was his only manifestation.

Four female patients aged 26 to 71 years, with permanent complete AV heart block and an implanted pacemaker had syncope or presyncope after the pacemaker implantation. As part of the study protocol the tilt table test was done. Neurological disease, arrhythmias, pacemaker syndrome or dysfunction of the stimulation system were ruled out. A head up tilt was performed, isosorbide was used as pharm...

References 1. Lipsitz LA: Syncope in the elderly. Ann Intern Med 99: 92-105, 1983 2. Kapoor WN. Karpf M, Maher Y, Miller RA, Levey GS: Syncope of unknown origin. JAMA 247: 2687-2691. 1982 3. Kapoor WN, Karpt M, Wieand S, Peterson JR. Levey GS: A prospective evaluation and follow-up of patients with syncope. N Engl J Med 309: 197-204, 1983 4. Silverstein MD, Singer DE, Mulley AG, Thibault GE, Ba...

Syncope and atrial fibrillation are both common entities and frequently occur together in an acute clinical scenario. Treatment of each in this presentation requires acquiring a good history and understanding the presentation of the patient. In this manuscript, there are 5 case studies that demonstrate common misperceptions when attempting to treat syncope when it presents with the arrhythmia a...