<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> transient loss of consciousness due to global cerebral hypoperfusion rapid onset, short duration and spontaneous complete recovery. European Society of Cardiology guidelines 2009 ... ''Reflex'' syncope (neurally mediated) - most common though others inc as age inc vasovagal: triggered by emotion, pain or stress. Often referred to as 'fainting' situational: cough, micturition, gastrointestinal carotid sinus syncope ''Orthostatic'' syncope primary autonomic failure: Parkinson's disease, Lewy body dementia secondary autonomic failure: e.g. Diabetic neuropathy, amyloidosis, uraemia drug-induced: diuretics, alcohol, vasodilators volume depletion: haemorrhage, diarrhoea ''Cardiac'' syncope arrhythmias: bradycardias (sinus node dysfunction, AV conduction disorders) or tachycardias (supraventricular, ventricular) structural: valvular, myocardial infarction, hypertrophic obstructive cardiomyopathy others: pulmonary embolism ''Evaluation'' cardiovascular examination postural blood pressure readings: a symptomatic fall in systolic BP > 20 mmHg or diastolic BP > 10 mmHg or decrease in systolic BP < 90 mmHg is considered diagnostic ECG carotid sinus massage tilt table test 24 hour ECG