Syncope: What are the Red Flags? Ethan Fruechte, M.D. North Memorial Heart and Vascular Institute Robbinsdale, MN
|
|
- June Warren
- 7 years ago
- Views:
Transcription
1 Syncope: What are the Red Flags? Ethan Fruechte, M.D. North Memorial Heart and Vascular Institute Robbinsdale, MN
2 Disclosures: None.
3 Case presentation: History 26yo woman self-referred for further eval of syncope Recurrent, associated with fatigue, stress, or migraine HA All actual syncopal episodes occurred while standing Some intermittent lightheadedness while seated Chronic chest wall pain, reproducible with palpation Anxiety and high-stress job; works for collections agency Taking sertraline, Imitrex, trazodone
4
5 Case presentation: Evaluation Echo: Normal chamber sizes and LV size / function; EF 60% Normal valvular function Holter monitor: Sinus rhythm throughout, normal rate trends No pauses or AV block No tachyarrhythmias
6 Case presentation: Evaluation Tilt testing: 5 minutes in: lightheaded, diaphoretic, nauseated Transient bradycardia but stable SBPs 90s-100s Immediate clinical recovery when supine Findings consistent with vagal response
7 Differential considerations: No cardiac history No palpitations or other cardiac symptoms No signs of structural heart disease No evidence of arrhythmia, ECG & Holter unremarkable Labwork unremarkable Occurred while standing Risk?
8 Risk stratification: High-risk features Abnormal ECG No warning History of heart disease Hypotension Shortness of breath Chest pain Structural heart or vascular disease CV etiology?
9 Question #1: What is the likelihood of a cardiovascular etiology among patients presenting with syncope (all-comers): A. 80% B. 50% C. 20% D. 5% E. Syncope is never cardiac. Call neurology or psych.
10 Question #2: What is the likelihood of a cardiovascular etiology among patients presenting with syncope, in the absence of cardiovascular disease at initial evaluation? A. 80% B. 50% C. 20% D. Less than 5%
11 Alboni et al. JACC 2001; 37:1921-8
12 Benditt DG, Adkisson WO. Cardiology Clinics 2013; 31:9-25
13 Syncope: Initial Evaluation May be challenging Events typically occur and resolve prior to arrival Wide range of causes Physical exam findings may be few History is key
14 Syncope: Initial Evaluation True syncope vs other causes: Accidental / mechanical falls Seizure Hypoglycemia Intoxication Vertebrobasilar TIA Psychogenic pseudosyncope
15 Syncope: Initial Evaluation Clinical features to suggest a specific diagnosis: Vasovagal Situational Recurrent Prodromal symptoms Mechanical / accidental History of falls Gait instability Orthostatic Positional Dehydration, anemia Other medical Diabetes mellitus Epilepsy / seizure disorder Intoxication
16 Syncope: Initial Evaluation ECG Echocardiogram Labwork: Basic metabolic panel Hemoglobin / hematocrit
17 Benditt DG, Adkisson WO. Cardiology Clinics 2013; 31:9-25
18 Case presentation: Impression / Plan Vasovagal syncope with transient cardioinhibitory response (bradycardia) Treated by increasing oral fluid intake Fludrocortisone 0.1mg daily
19 Case presentation: Clinical course Became pregnant; fludrocortisone discontinued Continued episodic lightheadedness throughout pregnancy, no frank syncope Ongoing post-partum symptoms Fludrocortisone restarted; dose increased to 0.2mg daily Some improvement, though periodic recurrences
20 Case presentation: Clinical course ILR (loop recorder) placement pursued
21
22 Case presentation: Clinical course Dual-chamber pacemaker placed Fludrocortisone discontinued Occasional lightheadedness; pt attributes to anxiety No further syncope
23 Summary: History is key Determine likelihood of true syncope vs other causes Determine likelihood of CV etiology Risk assessment (CV etiology = higher risk)
24 Summary: The majority of syncope cases are non-cv in nature (e.g. neural reflex or orthostatic) A normal ECG and echocardiogram, and the lack of any cardiac history, make the likelihood of a CV cause of syncope very low Ambulatory ECG monitoring, stress testing, implantable loop recorders, carotid sinus massage, tilt testing, and EP studies are useful additional diagnostic tools for unclear cases
25 Summary: High risk features include: Abrupt onset, no warning Non-positional episodes (e.g. while seated) Chest pain or dyspnea History of heart disease Abnormal ECG or echocardiogram Abnormal arrhythmia monitoring Abnormal labwork (e.g. anemia)
26 Thank you.
Assessment, diagnosis and specialist referral of adults (>16 years) with an episode of transient loss of consciousness (TLoC) or a blackout.
Assessment, diagnosis and specialist referral of adults (>16 years) with an episode of transient loss of consciousness (TLoC) or a blackout. TLoC is common huge variation in management range of clinicians
More informationConflicts of interest: None
Syncope in Athletes Thomas G. Allison, PhD, MPH Mayo Clinic Rochester, MN USA 13 th Annual Review Course in Clinical Cardiology Zurich 14 April, 2015 CP972908-1 Conflicts of interest: None Syncope: Definition
More informationIntroduction. What is syncope?
Syncope Introduction What is syncope? Syncope (SING-kuh-pee) is a medical term for fainting. When you faint, your brain is not receiving enough blood and oxygen, so you lose consciousness temporarily.
More informationFainting - Syncope. This reference summary explains fainting. It discusses the causes and treatment options for the condition.
Fainting - Syncope Introduction Fainting, also known as syncope, is a temporary loss of consciousness. It is caused by a drop in blood flow to the brain. You may feel dizzy, lightheaded or nauseous before
More informationCardiology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Cardiology
Cardiology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Cardiology Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89) The diabetes mellitus codes are combination codes
More informationClinical Glidepath TM Tools Syncope Frail Life expectancy less than five years or significant functional impairment
Robust Elderly greater ALL GROUPS 1 SYMPTOMS a) wth, nausea b) postural symptoms c) chest pain, dyspnea, post-exercise, dizziness, history of heart disease, palpitations, family history (prolonged QT)
More informationSyncope in the Elderly Assessment and Treatment. Professor Rose Anne Kenny Trinity College Dublin Newcastle University
Syncope in the Elderly Assessment and Treatment Professor Rose Anne Kenny Trinity College Dublin Newcastle University Definition Syncope is a syndrome consisting of a relatively short period of temporary
More informationNeurocardiogenic Syncope
Neurocardiogenic Syncope Christopher Bonnet, M.D. Director, Clinical Electrophysiology Definition of Syncope Abrupt and transient loss of consciousness Loss of postural tone Spontaneous and rapid recovery
More informationClinical characteristics and prodrome of Vasovagal syncope(vvs) in young and old.
Clinical characteristics and prodrome of Vasovagal syncope(vvs) in young and old. Clodagh O Dwyer, Ciara rice, Dymphna Hade, Lisa Byrne, Michelle Burke, CW Fan, RA Kenny Falls & Blackout Unit, St. James
More informationAutonomic Stress Test
Autonomic Stress Test (The expanded head-up tilt test) Artur Fedorowski Syncope Unit Skåne University Hospital, Malmö, Sweden NordSync 2011, Malmö Disclosure None The expanded head-up tilt test When? Why?
More informationDiana Heiman, MD Associate Professor, Family Medicine Residency Director East Tennessee State University
Diana Heiman, MD Associate Professor, Family Medicine Residency Director East Tennessee State University Objectives Define exercise associated collapse (EAC) and exercise-associated postural hypotension
More informationTreating AF: The Newest Recommendations. CardioCase presentation. Ethel s Case. Wayne Warnica, MD, FACC, FACP, FRCPC
Treating AF: The Newest Recommendations Wayne Warnica, MD, FACC, FACP, FRCPC CardioCase presentation Ethel s Case Ethel, 73, presents with rapid heart beating and mild chest discomfort. In the ED, ECG
More informationProfessor Rose Anne Kenny, St James Hospital &Trinity College, Dublin
Syncope Presentation and Investigation in the Acute Setting Professor Rose Anne Kenny, St James Hospital &Trinity College, Dublin Definition- Presentation Syncope is a syndrome consisting of a relatively
More informationtrust clinical guideline
CG23 VERSION 1.0 1/7 Guideline ID CG23 Version 1.0 Title Approved by Transient Loss of Consciousness Clinical Effectiveness Group Date Issued 01/01/2013 Review Date 31/12/2016 Directorate Authorised Staff
More informationSyncope. enough to include disorders such as epileptic seizures and concussion. January 14-15, 2011 SCA Conference 1
Syncope and Atypical Seizures Ravi Mandapati, M.D., FACC.; FHRS Director, Specialized Program for Arrhythmias in Congenital Heart Disease UCLA Cardiac Arrhythmia Center David Geffen School of Medicine
More informationCardiac Syncope. spot it, stop it! Syncope is Tranient Loss of Consciousness (T- LOC) due to: transient global cerebral hypoperfusion
Definition Cardiac Syncope spot it, stop it! David Gareth Jones Heart Rhythm Centre Royal Brompton & Harefield NHS Foundation Trust Syncope is Tranient Loss of Consciousness (T- LOC) due to: transient
More informationAtrial Fibrillation Management Across the Spectrum of Illness
Disclosures Atrial Fibrillation Management Across the Spectrum of Illness NONE Barbara Birriel, MSN, ACNP-BC, FCCM The Pennsylvania State University Objectives AF Discuss the pathophysiology, diagnosis,
More informationSetting up a Blackout Service
Setting up a Blackout Service Jayne Mudd, Nurse Consultant, Cardiac Rhythm Management James Cook University Hospital, Middlesbrough South Tees NHS Foundation Trust NECVN: Population of approximately 2.8
More informationWhat Can I Do about Atrial Fibrillation (AF)?
Additional Device Information 9529 Reveal XT Insertable Cardiac Monitor The Reveal XT Insertable Cardiac Monitor is an implantable patientactivated and automatically activated monitoring system that records
More informationNgaire has Palpitations
Ngaire has Palpitations David Heaven Cardiac Electrophysiologist/Heart Rhythm Specialist Middlemore, Auckland City and Mercy Hospitals Auckland Heart Group MCQ Ms A is 45, and a healthy marathon runner.
More informationArrhythmia from a GP Perspective. Dr Jonathan Shribman GPSI Cardiology Northamptonshire
Arrhythmia from a GP Perspective Dr Jonathan Shribman GPSI Cardiology Northamptonshire Arrhythmia from a GP Perspective Common presentation in General Practice Associated with considerable morbidity But
More information510(k) Summary May 7, 2012
510(k) Summary Medicalgorithmics 510(k) Premarket Notification 510(k) Summary May 7, 2012 1. Submitter Name and Address Medicalgorithmics LLC 245 West 107th St., Suite 11A New York, NY 10025, USA Contact
More informationSyncope 2015: Evaluation and Treatment. Steve Greer, MD FHRS BHHI Primary Care Symposium February 27, 2015
Syncope 2015: Evaluation and Treatment Steve Greer, MD FHRS BHHI Primary Care Symposium February 27, 2015 Financial disclosures Research Support National Heart, Lung, and Blood Institute Boston Scientific
More informationIl loop recorder esterno. Roberto Maggi
Il loop recorder esterno Roberto Maggi ECG monitoring and syncope In-hospital monitoring Holter Monitoring Event recorder External loop recorder Remote (at home) telemetry Implantable loop recorder External
More informationNew Treatments for Stroke Prevention in Atrial Fibrillation. John C. Andrefsky, MD, FAHA NEOMED Internal Medicine Review course May 5 th, 2013
New Treatments for Stroke Prevention in Atrial Fibrillation John C. Andrefsky, MD, FAHA NEOMED Internal Medicine Review course May 5 th, 2013 Classification Paroxysmal atrial fibrillation (AF) Last < 7
More information5/1/2015. When should I worry? Presyncope is the feeling that one is about to pass out but remains conscious with a transient loss of postural tone.
When should I worry? Robert Vogt-Lowell, MD, FAAP, FAAC, MAAC Pediatric Cardiologist Pediatrix Cardiology of Miami DEFINITIONS Syncope is a transient loss of consciousness and muscle tone that results
More informationSyncope in the Primary Care Setting. Ibrahim Hanna MD
Syncope in the Primary Care Setting Ibrahim Hanna MD Definitions SYNCOPE: Abrupt but transient loss of consciousness associated with the absence of postural tone, followed by a rapid and usually complete
More informationEpisode 20 Atrial fibrillation Prepared by Dr. Lucas Chartier
Episode 20 Atrial fibrillation Prepared by Dr. Lucas Chartier Most common dysrhythmia seen in ED, and incidence increasing with ageing population Presentation Common presentations: younger patients often
More informationLow Blood Pressure. This reference summary explains low blood pressure and how it can be prevented and controlled.
Low Blood Pressure Introduction Low blood pressure, or hypotension, is when your blood pressure reading is 90/60 or lower. Some people have low blood pressure all of the time. In other people, blood pressure
More informationWyatt Decker, M.D., FACEP Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905
WHICH PATIENTS WITH SYNCOPE NEED TO BE ADMITTED TO THE HOSPITAL Wyatt Decker, M.D., FACEP Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905 Case Unresponsive 82 y.o. male - found
More informationAtrial Fibrillation (AF) March, 2013
Atrial Fibrillation (AF) March, 2013 This handout is meant to help with discussions about the condition, and it is not a complete discussion of AF. We hope it will complement your appointment with one
More informationAtrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI
Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI Outline Atrial Fibrillation What is it? What are the associated
More informationStuart B Black MD, FAAN Chief of Neurology Co-Medical Director: Neuroscience Center Baylor University Medical Center at Dallas
Billing and Coding in Neurology and Headache Stuart B Black MD, FAAN Chief of Neurology Co-Medical Director: Neuroscience Center Baylor University Medical Center at Dallas CPT Codes vs. ICD Codes Category
More informationIs it really so? : Varying Presentations for ACS among Elderly, Women and Diabetics. Yen Tibayan, M.D. Division of Cardiovascular Medicine
Is it really so? : Varying Presentations for ACS among Elderly, Women and Diabetics Yen Tibayan, M.D. Division of Cardiovascular Medicine Case Presentation 69 y.o. woman calls 911 with the complaint of
More informationSyncope is a transient and abrupt. Evaluation of Syncope
Evaluation of Syncope ROBERT L. GAUER, MD, Womack Army Medical Center, Fort Bragg, North Carolina Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic
More informationCLINICAL MEDICINE. Syncope. Pushpa Yadav*, Arvind Sethi**, AK Agarwal***, Arun Jain*
CLINICAL MEDICINE JIACM 2003; 4(24): 286-91 Syncope Pushpa Yadav*, Arvind Sethi**, AK Agarwal***, Arun Jain* Syncope is a term applicable to sudden and transient loss of consciousness alongwith postural
More informationCoronary Artery Disease leading cause of morbidity & mortality in industrialised nations.
INTRODUCTION Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations. Although decrease in cardiovascular mortality still major cause of morbidity & burden of disease.
More informationSyncope. Approach Diagnosis and Treatment. Robert Satran MD
Syncope Approach Diagnosis and Treatment Robert Satran MD Transient Loss of Consciousness (TLOC) Transient Loss of Consciousness (TLOC ) Classification Underlying Mechanism Is Transient Global Cerebral
More informationDefining and classifying syncope. Clinical Autonomic Research 2004;14 (Suppl 1): 4 8
Defining and classifying syncope Roland D. Thijs, 1 Wouter Wieling, 2 Horacio Kaufmann, 3 J. Gert van Dijk 1 Clinical Autonomic Research 2004;14 (Suppl 1): 4 8 [1] Department of Neurology and Clinical
More informationPalpitations & AF. Richard Grocott Mason Consultant Cardiologist THH NHS Foundation Trust & Royal Brompton & Harefield NHS Foundation Trust
Palpitations & AF Richard Grocott Mason Consultant Cardiologist THH NHS Foundation Trust & Royal Brompton & Harefield NHS Foundation Trust Palpitations Frequent symptom Less than 50% associated with arrhythmia
More informationNAME OF THE HOSPITAL: 1. Coronary Balloon Angioplasty: M7F1.1/ Angioplasty with Stent(PTCA with Stent): M7F1.3
1. Coronary Balloon Angioplasty: M7F1.1/ Angioplasty with Stent(PTCA with Stent): M7F1.3 1. Name of the Procedure: Coronary Balloon Angioplasty 2. Select the Indication from the drop down of various indications
More informationGuidelines on Management (Diagnosis and Treatment) of Syncope Update 2004 q Executive Summary
European Heart Journal (2004) 25, 2054 2072 ESC Guidelines Guidelines on Management (Diagnosis and Treatment) of Syncope Update 2004 q Executive Summary The Task Force on Syncope, European Society of Cardiology
More informationEmergency Scenario. Chest Pain
Emergency Scenario Chest Pain This emergency scenario reviews chest pain in a primary care patient, and is set up for roleplay and case review with your staff. 1) The person facilitating scenarios can
More informationNew England Pain Management Consultants At New England Baptist Hospital
New England Pain Management Consultants At New England Baptist Hospital Pain Management Center Health Assessment Dear New Pain Management Patient, Welcome to the New England Pain Management Consultants
More informationTilt Table Testing for Assessing Syncope
263 ACC EXPERT CONSENSUS DOCUMENT Tilt Table Testing for Assessing Syncope DAVID G. BENDITT, MD, FACC, CHAIR DAVID W. FERGUSON, MD, FACC BLAIR P. GRUBB, MD, FACC WISHWA N. KAPOOR, MD JOHN KUGLER, MD, FACC
More informationTILT TESTING INFORMATION AND PROTOCOLS
TILT TESTING INFORMATION AND PROTOCOLS For technicians and doctors June 2008 Dr Nicola Cooper Consultant in Acute Medicine & Geriatrics TILT TESTING This information has been compiled for technicians and
More informationCardiology ARCP Decision Aid August 2014
Cardiology ARCP Decision Aid August 2014 The table that follows includes a column for each training year which documents the targets that have to be achieved for a satisfactory ARCP outcome at the end
More informationIntroduction. Differential Diagnosis of Epilepsy. 2016 Thai Epilepsy Teaching Course 8/20/2016. Tayard Desudchit, M.D Chulalongkorn U.
Introduction Differential Diagnosis of Epilepsy Tayard Desudchit, M.D Chulalongkorn U. A diagnosis of epilepsy carries with it many important psychosocial issues as well as therapy decisions. The consequence
More informationSTUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE
STUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE WHAT IS A NURSING DIAGNOSIS? A nursing diagnosis is a clinical judgment about individual, family, or community responses to
More informationApproach to the Patient with Syncope
Syncope Case Study 38-year-old female with recurrent syncope occasionally occurring during emotional stressful times. Her physical examination and 12 lead EKG are normal. Approach to the Patient with Syncope
More informationAtrial Fibrillation: Drugs, Ablation, or Benign Neglect. Robert Kennedy, MD October 10, 2015
Atrial Fibrillation: Drugs, Ablation, or Benign Neglect Robert Kennedy, MD October 10, 2015 Definitions 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary.
More informationGuidelines on management (diagnosis and treatment) of syncope*
European Heart Journal (2001) 22, 1256 1306 doi:10.1053/euhj.2001.2739, available online at http://www.idealibrary.com on Task Force Report Guidelines on management (diagnosis and treatment) of syncope*
More information«Δυσλειτουργία βηματοδότη. Πως μπορούμε να την εκτιμήσουμε στο ιατρείο.» Koσσυβάκης Χάρης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ
«Δυσλειτουργία βηματοδότη. Πως μπορούμε να την εκτιμήσουμε στο ιατρείο.» Koσσυβάκης Χάρης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ Diagnostic tools History: symptoms, physical examination 12 leads ECG,
More informationDifferential Diagnosis of the epileptic seizures Concerned: 6 year Medical students
Differential Diagnosis of the epileptic seizures Concerned: 6 year Medical students Dr. Faustin YEPNJIO University of Dakar-Senegal 2nd IBRO-SfN-NAS Teaching Tools worshop in Africa, Fayoum, Egypt 2009
More informationDiagnostic tests for syncope
Diagnostic tests for syncope Working together with individuals, families and medical professionals to offer support and information on syncope and reflex anoxic seizures www.stars.org.uk Registered Charity
More informationConsensus statement for the diagnosis and management of syncope. Argentine Society of Cardiology
CONSENSUS Consensus statement for the diagnosis and management of syncope. Argentine Society of Cardiology Director Dr. Claudio Militello MTSAC Committee of Editorial Staff Dr. Rafael Acunzo MTSAC Dr.
More informationLiving with Low Blood Pressure
Living with Low Blood Pressure Understand the medical jargon and tips on how to cope with low Blood Pressure (BP) What is low blood pressure? Blood pressure (BP) is measured in millimetres of mercury (mm
More informationSurvey of Canadian Physicians Use of anti-thrombotic therapy for Atrial Fibrillation
Survey of Canadian Physicians Use of anti-thrombotic therapy for Atrial Fibrillation On the following pages are a number of questions asking about the conditions under which you would prescribe anticoagulation
More informationSyncope in Children and Adolescents: What Are the Peculiar Features?
Syncope in Children and Adolescents: What Are the Peculiar Features? W. WIELING 1,N.VAN DIJK 1, K.S. GANZEBOOM 1,J.P.SAUL 2 Epidemiology Syncope can be defined as a temporary loss of consciousness and
More informationAcquired, Drug-Induced Long QT Syndrome
Acquired, Drug-Induced Long QT Syndrome A Guide for Patients and Health Care Providers Sudden Arrhythmia Death Syndromes (SADS) Foundation 508 E. South Temple, Suite 202 Salt Lake City, Utah 84102 800-STOP
More informationPreoperative Laboratory and Diagnostic Studies
Preoperative Laboratory and Diagnostic Studies Preoperative Labratorey and Diagnostic Studies The concept of standardized testing in all presurgical patients regardless of age or medical condition is no
More informationStroke Thrombolysis Awareness. Initial patient assessment. Using F.A.S.T., Rosier, & NIHSS Tools
Stroke Thrombolysis Awareness Initial patient assessment Using F.A.S.T., Rosier, & NIHSS Tools Adapted from 5 Acute Trusts - 6 Primary Care Trusts Ambulance Trust 4 Local Authorities Aims Improve recognition
More information2320-6691 2015; 3(3B):1132-1136 ISSN 2347-954X
Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2015; 3(3B):1132-1136 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)
More information2/20/2015. Cardiac Evaluation of Potential Solid Organ Transplant Recipients. Issues Specific to Transplantation. Kidney Transplantation.
DISCLOSURES I have no relevant financial relationships to disclose. Cardiac Evaluation of Potential Solid Organ Transplant Recipients Michele Hamilton, MD Director, Heart Failure Program Cedars Sinai Heart
More informationPATIENT REGISTRATION
Orthopedic & Sports Therapy Center PATIENT REGISTRATION NAME DATE OF BIRTH SSN# FIRST MI LAST PHONE INFO: HOME BEST WAY TO CONFIRM APPOINTMENTS WORK CALL TEXT EMAIL MOBILE (TEXT) MOBILE CARRIER EMAIL ADDRESS
More informationPHSW Procedural Sedation Post-Test Answer Key. For the following questions, circle the letter of the correct answer(s) or the word true or false.
PHSW Procedural Sedation Post-Test Answer Key 1 1. Define Procedural (Conscious) Sedation: A medically controlled state of depressed consciousness where the patient retains the ability to continuously
More informationEquine Cardiovascular Disease
Equine Cardiovascular Disease 3 rd most common cause of poor performance in athletic horses (after musculoskeletal and respiratory) Cardiac abnormalities are rare Clinical Signs: Poor performance/exercise
More informationThe science of medicine. The compassion to heal.
A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.
More informationAtrial Fibrillation Centre
About this guide We have prepared this guide to help you to: learn about atrial fibrillation manage atrial fibrillation and reduce the risk of stroke find out about medicines and other treatment options
More informationINFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation
INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation 30 Bond Street, Toronto, ON M5B 1W8 Canada 416.864.6060 stmichaelshospital.com Form No. XXXXX Dev. XX/XXXX GOALS
More informationDoc, I Am Fine, But I Have A Cardiac Condition
Doc, I Am Fine, But I Have A Cardiac Condition Nevine Mahmoud, MD John Ludtke, MD Maj, USAFR, MC, FS RAM Class 2014 Wright State University Boonshoft School of Medicine Division of Aerospace Medicine Dayton,
More informationHYPERTROPHIC CARDIOMYOPATHY
HYPERTROPHIC CARDIOMYOPATHY Most often diagnosed during infancy or adolescence, hypertrophic cardiomyopathy (HCM) is the second most common form of heart muscle disease, is usually genetically transmitted,
More informationBASIC STANDARDS FOR RESIDENCY TRAINING IN CARDIOLOGY
BASIC STANDARDS FOR RESIDENCY TRAINING IN CARDIOLOGY American Osteopathic Association and the American College of Osteopathic Internists Specific Requirements For Osteopathic Subspecialty Training In Cardiology
More informationHEART MONITOR TREADMILL 12 LEAD EKG
2 HEART MONITOR TREADMILL 12 LEAD EKG Portable ambulatory monitoring system Continuously records electrical activity of the heart for 24 hours or more Also known as ambulatory electrocardiographic monitor
More informationElectrophysiology Heart Study - EPS -
Electrophysiology Heart Study - EPS - What is an EPS? EPS is short for ElectroPhysiology heart Study. This procedure looks at the electrical system of your heart. An EPS will show if you have a heart rhythm
More informationWATCHMAN Left Atrial Appendage Closure Device
WATCHMAN Left Atrial Appendage Closure Device Patient Information Guide WATCHMAN Left Atrial Appendage Closure Device PATIENT INFORMATION GUIDE Your doctor has recommended that you consider undergoing
More informationTreatments to Restore Normal Rhythm
Treatments to Restore Normal Rhythm In many instances when AF causes significant symptoms or is negatively impacting a patient's health, the major goal of treatment is to restore normal rhythm and prevent
More informationListen to your heart: Good Cardiovascular Health for Life
Listen to your heart: Good Cardiovascular Health for Life Luis R. Castellanos MD, MPH Assistant Clinical Professor of Medicine University of California San Diego School of Medicine Sulpizio Family Cardiovascular
More informationCASE STUDY. Bayleigh s Heart Disease. Written by Mark Stephenson, DVM Case Managed & Co-Written by Sonya Gordon, DVM, DVSc, DACVIM-CA
CASE STUDY Bayleigh s Heart Disease Written by Mark Stephenson, DVM Case Managed & Co-Written by Sonya Gordon, DVM, DVSc, DACVIM-CA Patient Information PATIENT: Bayleigh PET OWNER: Ms. K. BREED: Irish
More informationOfficial Online ACLS Exam
\ Official Online ACLS Exam Please fill out this form before you take the exam. Name : Email : Phone : 1. Hypovolemia initially produces which arrhythmia? A. PEA B. Sinus tachycardia C. Symptomatic bradyarrhythmia
More informationNovartis Gilenya FDO Program Clinical Protocol and Highlights from Prescribing Information (PI)
Novartis Gilenya FDO Program Clinical Protocol and Highlights from Prescribing Information (PI) Highlights from Prescribing Information - the link to the full text PI is as follows: http://www.pharma.us.novartis.com/product/pi/pdf/gilenya.pdf
More informationAtrial Fibrillation The Basics
Atrial Fibrillation The Basics Family Practice Symposium Tim McAveney, M.D. 10/23/09 Objectives Review the fundamentals of managing afib Discuss the risks for stroke and the indications for anticoagulation
More informationDiabetic Emergencies. David Hill, D.O.
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
More informationGuidelines on Management (Diagnosis and Treatment) of Syncope e Update 2004 *
Europace (2004) 6, 467e537 ESC GUIDELINES Guidelines on Management (Diagnosis and Treatment) of Syncope e Update 2004 * The Task Force on Syncope, European Society of Cardiology ** Task Force members:
More informationAtrial & Junctional Dysrhythmias
Atrial & Junctional Dysrhythmias Atrial & Junctional Dysrhythmias Atrial Premature Atrial Complex Wandering Atrial Pacemaker Atrial Tachycardia (ectopic) Multifocal Atrial Tachycardia Atrial Flutter Atrial
More informationTechnology Assessment
Technology Assessment Remote Cardiac Monitoring Technology Assessment Program Agency for Healthcare Research and Quality 540 Gaither Road Rockville, Maryland 20850 December 12, 2007 Remote Cardiac Monitoring
More informationDepartment of Transportation (DOT) Changes PHYSICAL EXAMINATION CHANGES
Department of Transportation (DOT) Changes PHYSICL EXMINTION CHNGES Contents Page How will this change affect me?.... 1 General statements.... 2 Definitions.... 2 Physical requirements.... 3 Cardiovascular
More informationwww.irishheart.ie CARDIOMYOPATHY SUPPORT GROUP IRELAND
www.irishheart.ie CARDIOMYOPATHY SUPPORT GROUP IRELAND Cardiomyopathy Support Group This is a voluntary group of people, all of whom have cardiomyopathy. It was set up in association with the Irish Heart
More informationCardiovascular Disease and Maternal Mortality what do we know and what are the key questions?
Cardiovascular Disease and Maternal Mortality what do we know and what are the key questions? AFSHAN HAMEED, MD, FACOG, FACC Associate Clinical Professor Maternal Fetal Medicine and Cardiology University
More informationEducational Goals & Objectives
Educational Goals & Objectives The Cardiology rotation will provide the resident with an understanding of cardiovascular physiology and its broad systemic manifestations. The resident will have the opportunity
More informationPROFESSIONAL BILLING COMPLIANCE TRAINING PROGRAM MODULE 5 OUTPATIENT OBSERVATION SERVICES
PROFESSIONAL BILLING COMPLIANCE TRAINING PROGRAM MODULE 5 OUTPATIENT OBSERVATION SERVICES Definition of Observation Care Medicare defines observation care* as: a well defined set of specific, clinically
More informationThe Role of Arrhythmia Alliance. Promoting better understanding, diagnosis, treatment and quality of life for individuals with cardiac arrhythmia A A
The Role of Arrhythmia Alliance Promoting better understanding, diagnosis, treatment and quality of life for individuals with cardiac arrhythmia Arrhythmia Alliance Is a coalition of charities, patient
More informationPostural tachycardia syndrome following human papillomavirus vaccination
European Journal of Neurology 2014, 21: 135 139 doi:10.1111/ene.12272 Postural tachycardia syndrome following human papillomavirus vaccination S. Blitshteyn Department of Neurology, State University of
More informationOsama Jarkas. in Chest Pain Patients. STUDENT NAME: Osama Jarkas DATE: August 10 th, 2015
STUDENT NAME: Osama Jarkas DATE: August 10 th, 2015 PROJECT TITLE: Analysis of ECG Exercise Stress Testing and Framingham Risk Score in Chest Pain Patients PRIMARY SUPERVISOR NAME: Dr. Edward Tan DEPARTMENT:
More informationACLS PRE-TEST ANNOTATED ANSWER KEY
ACLS PRE-TEST ANNOTATED ANSWER KEY June, 2011 Question 1: Question 2: There is no pulse with this rhythm. Question 3: Question 4: Question 5: Question 6: Question 7: Question 8: Question 9: Question 10:
More informationWhat Are Arrhythmias?
What Are Arrhythmias? Many people have questions about what the word arrhythmia means, and arrhythmias can be a difficult subject to understand. The text below should give you a better understanding of
More informationMedical management of CHF: A New Class of Medication. Al Timothy, M.D. Cardiovascular Institute of the South
Medical management of CHF: A New Class of Medication Al Timothy, M.D. Cardiovascular Institute of the South Disclosures Speakers Bureau for Amgen Background Chronic systolic congestive heart failure remains
More informationCardiovascular Guidelines for DOT Physical Exams By Maureen Collins MSN, APRN, BC
Cardiovascular Guidelines for DOT Physical Exams By Maureen Collins MSN, APRN, BC The Federal Motor Carrier Safety Administration (FMCSA) administers the Federal Motor Carrier Safety Regulations (FMCSRs)
More informationAtrial Fibrillation: Do We Have A Cure? Raymond Kawasaki, MD AMG Electrophysiology February 21, 2015
Atrial Fibrillation: Do We Have A Cure? Raymond Kawasaki, MD AMG Electrophysiology February 21, 2015 Disclaimer I have no relationships to disclose Do we have a cure for Atrial Fibrillation? The short
More informationSyncope, POTS, and Other Neurocardiogenic Syndromes
Syncope, POTS, and Other Neurocardiogenic Syndromes Fred Jaeger DO Center for Syncope and Autonomic Disorders Section of Electrophysiology, Department of Cardiovascular Medicine Miller Heart and Vascular
More information