Syncope: Difference between revisions

331 bytes added ,  25 March 2013
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==Classification Of Syncope==
==Classification Of Syncope==
 
Syncope can be classified into:
[[Image:Syncope_class.svg|center]]
[[Image:Syncope_class.svg|center]]


==Pathophysiology==
==Pathophysiology==
[[Image:Pathophysiology.svg|Classification of syncope by pathofysiological origin. ANF = autonomic nervous failure; ANS = autonomic nervous system; BP = blood pressure; low periph. resist. = low peripheral resistance; OH = orthostatic hypotension|500px|thumb]]
[[Image:Pathophysiology.svg|Pataphysiological basis of the classification. ANF = autonomic nervous failure; ANS = autonomic nervous system; BP = blood pressure; low periph. resist. = low peripheral resistance; OH = orthostatic hypotension|250px|thumb|left]]
The mean arterial blood pressure is determined by the cardiac output (CO), systemic vascular resistance (SVR) and central venous pressure. Syncope can be caused by a low peripheral resistance (vasodepressor type), a low cardiac output (cardioinhibitory type) or a combination of both.
 
A low peripheral resistance can be caused by an inappropriate reflex, or autonomic failure. A low cardiac output can be caused by reflex bradycardia, arrhythmias, or structural cardiac diseases or inadequate venous return.


Syncope can be caused by a low peripheral resistance (vasodepressor type), a low cardiac output (cardioinhibitory type) or a combination of both.
{|
|-
|align="center" | '''Mean arterial blood pressure'''
|-
|align="center" | '''='''
|-
|align="center" |'''Cardiac output * Total peripheral resistance'''
|}


A low peripheral resistance can be caused by an inappropriate reflex, or autonomic failure. A low cardiac output can be caused by reflex bradycardia, arrhythmias, or structural cardiac diseases or inadequate venous return.


==Epidemiology==
==Epidemiology==