Syncope is defined as transient loss of consciousness due to cerebral hypoperfusion, characterized by a rapid onset, short duration, and spontaneous complete recovery.

Syncope shares many clinical features with other disorders and it therefore presents in many differential diagnoses (i.e. epileptic seizures, psychogenic pseudosyncope, cerebrovascular accidents).

The physiopathology classification is:
  • Reflex syncope (vasovagal, situational, carotid sinus syndrome)
  • Syncope due to orthostatic hypotension (iatrogenic, volume depletion, primary and secondary autonomic failure)
  • Cardiac syncope (arrhythmia, structural cardiac and cardiopulmonary and great vessels)

Identification of pathophysiologic mechanism is of fundamental importance because the syncope may be underling conditions with infaust prognosis.

ProKardia, through a team of specialists, offers an assistance aimed to ensure:
  • initial evaluation of syncope suitable for identify the underling mechanism
  • risk stratification on the basis of syncopal event, past medical history, physical examination
  • therapeutic management and prevention

Reference: European Heart Journal (2018) 39, 1883–1948

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