Syncope and Transient Loss of Consciousness (eBook)

Multidisciplinary Management
eBook Download: PDF
2008 | 1. Auflage
208 Seiten
Wiley (Verlag)
978-0-470-69172-4 (ISBN)

Lese- und Medienproben

Syncope and Transient Loss of Consciousness -
Systemvoraussetzungen
95,99 inkl. MwSt
  • Download sofort lieferbar
  • Zahlungsarten anzeigen
Syncope is one of the most important causes of transient loss of consciousness, and is such a common event that it may be encountered by practitioners in virtually any field of medicine. As such, a broad spectrum of healthcare professionals may be involved in its assessment and management.

Edited by distinguished individuals whose pioneering work in syncope highlights careers devoted to improving patient care, this book provides:
• Succinct, practical and up-to-date guidance on the optimal clinical evaluation and treatment of patients with syncope and transient loss of consciousness in a multidisciplinary framework
• Evidence-based recommendations founded on comprehensive literature review and extensive clinical experience by expert contributors
• Meaningful clinical tips for appropriate use of guidelines in clinical practice
• Key recent citations

Building on the European Society of Cardiology Syncope Guidelines, this book provides a clear evaluation of the latest recommendations for care of patients with syncope and transient loss of consciousness, with a multidisciplinary focus that makes it equally relevant for general physicians or those specializing in cardiology or neurology.



David G Benditt, M.D., FACC, FRCP(C), FHRS

David G. Benditt, M.D. was born in Winnipeg, Canada. He received a B.Sc. degree in Electrical Engineering and an MD degree from the University of Manitoba. Following completion of postgraduate training in Internal Medicine, he moved to Duke University Medical Center in Durham, North Carolina where he completed a fellowship training in cardiology and cardiac electrophysiology. Thereafter, Dr Benditt joined the faculty of the Cardiovascular Division in the Dept of Medicine at the University of Minnesota where he established its training and research program in clinical cardiac electrophysiology

Dr. Benditt is currently Professor of Medicine and Co-director of the Cardiac Arrhythmia Center at the University of Minnesota in Minneapolis. He has been an Established Investigator of the American Heart Association, and President of both the American Heart Association-Minnesota Affiliate and the North American Society for Pacing and Electrophysiology (NASPE). Dr Benditt has recently been honored with the Pioneer in Pacing and Electrophysiology Award of the Heart Rhythm Society. He is a Fellow of both the American College of Cardiology, the Royal College of Physicians and Surgeons of Canada, and the Heart Rhythm Society (HRS). He is a member of the European Heart Rhythm Association (EHRA), and of the Council of Presidents of HRS. He is an associate editor of the Journal of Interventional Electrophysiology (JICE), and is a member of the Editorial Board of Europace. He has been a member of the Editorial Board of the Journal of the American College of Cardiology (JACC), The Journal of Cardiac Electrophysiology, and the American Journal of Cardiology (AJC). He has participated in many professional society Guidelines and Consensus reports, most recently the Syncope guidelines of the European Society of Cardiology. He is a medical consultant to the US Federal Aviation administration on evaluation of individuals with transient loss of consciousness, as well as to several medical device manufacturers. His principal research interests are directed toward the fields of autonomic control as it applies to syncope (fainting), and implantable and external devices for cardiac rhythm management.

Michele Brignole, MD FESC

From 1996, he is the chief of the Department of Cardiology of Ospedali del Tigullio, Lavagna, Italy.
He is Fellow of the European Society of Cardiology.
He was the chairman of the Task Force on Syncope of the European Society of Cardiology.
He is currently the President of AIAC, Associazione Italiana di Aritmologia e Cardiostimolazione.
The main research field has been diagnosis, pathophysiology and therapy of syncope and rhythm disturbances and radiofrequency catheter ablation of arrhythmias; he has published:
- 164 original papers currently quoted on Medline; he was first name in 75 of them.

Antonio Raviele, MD, FESC

Graduated with honors in Medicine and Surgery at Universita' degli Studi di Napoli of University of Napoli in 1971
Specialized in Cardiology at Florence University in 1974
Since 1995 Chief of the Cardiology Division and since 2000 Chief of the Cardiovascular Department of the Umberto I Hospital of Venice-Mestre , Italy
From 2000 to 2004 President of AIAC, Italian Association of Arrhythmology and Cardiac Pacing; from 2004 to 2006 Past-President of the same Association
Founding Father and current General Secretary of ECAS, European Cardiac Arrhythmia Society
Fellow of the European Society of Cardiology and fellow of the Heart Ryhtm Society

W. Wieling. MD, PhD

Scientific and professional experience
1984- present. Head research group physiology and pathophysiology of the circulation of the Cardiovascular Research Institute of the AMC. This research group is a collaboration of clinicians, physiologists and engineers and its main interest is research on the short-term regulation of the circulation using non-invasive technologies.
1994- present associate professor Department of Internal Medicine, director syncope unit Academic Medical Centre
1999- 2004 member of the Executive Committtee of the European Society of
Cardiology Task Force on Syncope

Major areas of research interest
1. Autonomic nervous system control of the circulation in health and disease
2. Physiological strategies to improve orthostatic intolerance
3. Evaluation and treatment of syncope


Syncope is one of the most important causes of transient loss of consciousness, and is such a common event that it may be encountered by practitioners in virtually any field of medicine. As such, a broad spectrum of healthcare professionals may be involved in its assessment and management. Edited by distinguished individuals whose pioneering work in syncope highlights careers devoted to improving patient care, this book provides: Succinct, practical and up-to-date guidance on the optimal clinical evaluation and treatment of patients with syncope and transient loss of consciousness in a multidisciplinary framework Evidence-based recommendations founded on comprehensive literature review and extensive clinical experience by expert contributors Meaningful clinical tips for appropriate use of guidelines in clinical practice Key recent citations Building on the European Society of Cardiology Syncope Guidelines, this book provides a clear evaluation of the latest recommendations for care of patients with syncope and transient loss of consciousness, with a multidisciplinary focus that makes it equally relevant for general physicians or those specializing in cardiology or neurology.

Syncope and Transient Loss of Consciousness : MULTIDISCIPLINARY MANAGEMENT 1
Contents 7
Contributors 11
Preface 15
Part 1 Syncope and TLOC overview 17
1 Definition and classification of syncope and transient loss of consciousness 19
2 Epidemiologic aspects of transient loss of consciousness/syncope 24
3 Pathophysiology of syncope: postural,neurally-mediated, and arrhythmic 31
4 Cerebral perfusion in syncope 36
5 Risk stratification-impact on diagnostic strategy 40
Part 2 Clinical evaluation strategies 45
6 Value and limitations of clinical history in assessing cause of syncope 47
7 Emergency department evaluation of transient loss of consciousness/ syncope 52
8 The essential autonomic assessment for evaluating the cause of syncope 55
9 Neurally-mediated reflex syncope: recognition by history and clinical testing 60
10 Value and limitations of ambulatory electrocardiographic monitoring 67
11 Recording ambulatory blood pressure in the syncope and TLOC evaluation 72
12 Electrophysiologic testing: value and limitations in the transient loss of consciousness/syncope evaluation 77
13 Intolerance to upright posture in autonomic failure and the postural tachycardia syndrome: assessment and treatment strategies 83
14 Improving tolerance to upright posture: current status of tilt-training and other physical maneuvers 88
15 Syncope in patients with bundle-branch block and other conduction system abnormalities 92
Part 3 Specific conditions 97
16 Treatment strategies in neurally-mediated reflex syncope: effectiveness of drugs, pacing, and physical maneuvers 99
17 Structural heart disease, syncope, and risk of sudden death: selection of patients for implantable cardioverter-defibrillator therapy 105
18 Channelopathies as a cause of syncope 111
19 Distinguishing seizures and pseudosyncope from syncope 118
20 Syncope and transient loss of consciousness in children and adolescents: congenital and acquired conditions 127
21 Transient loss of consciousness, syncope, and falls in the elderly 135
22 Drug-induced (iatrogenic) syncope 145
Part 4 Economic and research aspects 149
23 Syncope and the competitive athlete: recommendations for evaluation and permission to compete 151
24 Role of syncope management units 156
25 The impact of syncope and transient loss of consciousness on quality of life 164
Part 5 Current controversies and future directions 167
26 Driving and flying restrictions for the syncope and/or implanted cardiac device patient 169
27 Clinical trials landscape: what's new, what's ongoing, what do we need 173
28 Syncope and transient loss of consciousness: multidisciplinary management 185
29 Syncope practice guidelines initiative 192
Appendix: syncope consortium members 200
Index 204

Erscheint lt. Verlag 15.4.2008
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizinische Fachgebiete Innere Medizin Kardiologie / Angiologie
Schlagworte electrophysiology • Elektrophysiologie • Medical Science • Medizin • Radiologie u. Bildgebende Verfahren • Radiology & Imaging
ISBN-10 0-470-69172-7 / 0470691727
ISBN-13 978-0-470-69172-4 / 9780470691724
Haben Sie eine Frage zum Produkt?
PDFPDF (Adobe DRM)
Größe: 1,3 MB

Kopierschutz: Adobe-DRM
Adobe-DRM ist ein Kopierschutz, der das eBook vor Mißbrauch schützen soll. Dabei wird das eBook bereits beim Download auf Ihre persönliche Adobe-ID autorisiert. Lesen können Sie das eBook dann nur auf den Geräten, welche ebenfalls auf Ihre Adobe-ID registriert sind.
Details zum Adobe-DRM

Dateiformat: PDF (Portable Document Format)
Mit einem festen Seiten­layout eignet sich die PDF besonders für Fach­bücher mit Spalten, Tabellen und Abbild­ungen. Eine PDF kann auf fast allen Geräten ange­zeigt werden, ist aber für kleine Displays (Smart­phone, eReader) nur einge­schränkt geeignet.

Systemvoraussetzungen:
PC/Mac: Mit einem PC oder Mac können Sie dieses eBook lesen. Sie benötigen eine Adobe-ID und die Software Adobe Digital Editions (kostenlos). Von der Benutzung der OverDrive Media Console raten wir Ihnen ab. Erfahrungsgemäß treten hier gehäuft Probleme mit dem Adobe DRM auf.
eReader: Dieses eBook kann mit (fast) allen eBook-Readern gelesen werden. Mit dem amazon-Kindle ist es aber nicht kompatibel.
Smartphone/Tablet: Egal ob Apple oder Android, dieses eBook können Sie lesen. Sie benötigen eine Adobe-ID sowie eine kostenlose App.
Geräteliste und zusätzliche Hinweise

Zusätzliches Feature: Online Lesen
Dieses eBook können Sie zusätzlich zum Download auch online im Webbrowser lesen.

Buying eBooks from abroad
For tax law reasons we can sell eBooks just within Germany and Switzerland. Regrettably we cannot fulfill eBook-orders from other countries.

Mehr entdecken
aus dem Bereich
'Ars echocardiographica' - Schritt für Schritt zur …

von Andreas Hagendorff; Stephan Stoebe

eBook Download (2021)
Urban & Fischer Verlag - Fachbücher
129,99