Syncope: From Etiopathogenesis to New Therapeutic Options

by Tolga Aksu (Editor), Carlos A. Morillo (Editor)

Overview

Syncope is a common condition related to transient loss of consciousness due to global cerebral hypoperfusion and caused by a variety of aetiologies. Although it is self-limited, and usually benign, syncope can be the harbinger of life-threatening heart rhythm problems due to cardiac conditions. A multidisciplinary approach is practical for its evaluation and treatment, requiring the expertise of cardiologists, neurologists, emergency medicine specialists, and other clinicians. This book provides a detailed review of etiopathogenesis and a state-of-the-art update on therapeutic options offering recommendations based on the guidelines and experience of experts while discussing procedures and tests with their indications, methodology, interpretation, and limitations.

Key Features:

• Discusses new diagnostic tools, and therapeutic modalities including video monitoring.
• Provides up-to-date recommendations regarding the indications for and appropriate interpretation of non-invasive and invasive cardiac testing, for cardiologists and internists.
• Places particular emphasis on diagnosing and treating reflex and arrhythmic syncope.

Product Details

ISBN-13:	9781032542348
Publisher:	CRC Press
Publication date:	10/24/2024
Pages:	195
Product dimensions:	7.00(w) x 10.00(h) x (d)

About the Author

Tolga Aksu, MD, FESC, FEHRA

Dr, Aksu is a professor of cardiology. Currently, he is a member of the Department of Cardiology and Director of Clinical Electrophysiology at the Yeditepe University Hospital in Turkey. Dr. Aksu is clinically interested in invasive electrophysiology, device implantation and catheter ablation therapies. His special interest areas include atrial fibrillation and cardioneuroablation, and he has been a pioneer and advocate in this field. Dr. Aksu has published more than 130 international scientific publications. He is an associate editor of Journal of Electrocardiology and SoMe Editor of JICE. He is also a member of the editorial board of World Journal of Cardiology, Medicine Journal, Journal of Atrial Fibrillation, and Journal of Cardiac Arrhythmias.

Carlos A. Morillo, MD, FRCPC, FACC, FHRS, FESC

Prof. Carlos A. Morillo is a cardiac electrophysiologist, and served in the Chief Division of Cardiology (2015-2022) at the Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada, and is currently on an academic sabbatical leave at the Molecular and Novel Arrhythmia Mechanisms group at the Centro Nacional de Investigaciones Cardiovaculares (CNIC) in Madrid, Spain. He has been involved in syncope research since 1986, and has extensively investigated the mechanisms of neurally mediated syncope and participated and led several landmark clinical trials related to the diagnosis and management of vasovagal syncope including the VPS, POST and SPAIN trials. Prof. Morillo has published over 350 peer-reviewed articles and has also participated in several syncope guidelines from the ESC, ACC, AHA, HRS and Canadian Society of Cardiology. Prof Morillo's key research areas are related to the development of clinical trials in the area syncope, cardiac arrhythmias, AF ablation, screening and detection of AF in varied populations, and treatment of Chagas disease.

Table of Contents

1. Syncope: Definition, Terminology, and Classification. 2. Epidemiology and Economics of Syncope. 3. Etiopathogenesis of Syncope. 4. Initial Evaluation and Risk Stratification in Syncope. 5. Diagnostic Tests in Syncope (A. Autonomic tests; B. ECG, Prolonged ambulatory monitoring, implantable loop recorders; C. Tilt table test; D. Other tests). 6. Reflex Syncope (A. Vasovagal Syncope; B. Other causes of Reflex Syncope). 7. Adenosine Sensitive Syncope: Diagnosis & Management 8. Disorders of Orthostatic Intolerance: Orthostatic Hypotension and Postural Orthostatic Tachycardia Syndrome 9. Cardiac Syncope. 10. Syncope in children.11. Pseudosyncope and ictal syncope: Diagnosis & Management. 12. Other neurological conditions (Sleep disorders, autonomic failure, and structural brain lesions). 13. Management of Reflex Syncope (A. Non-pharmacological and Pharmacological Management of Reflex Syncope; B. Cardioneuroablation; C. Cardiac Pacing in Reflex Syncope). 14. The Legal Aspects of Syncope. 15. Syncope & Falls in Older Adults.