Syncope “HEAD, HEART and VESS’LS”
- H – hypoglycemia hypoxia
- E – epilepsy
- A – anxiety [the “swoon”]
- D – dysfunction of brain stem [i.e. brain stem TIA]
- H – heart attack
- E – embolism of pulmonary artery
- A – aortic obstruction [ Aortic stenosis, myxoma, IHSS ]
- R – rhythm disturbance
- T – tachycardia esp VT
- V – vasovagal
- E – ectopic i.e. hemorrhage obvious or not
- S – situational [micturation, defecation…]
- S – subclavial steal
- L – low SVR [eg: anaphalaxis]
- S – sensitive carotid sinus