Combined Bachelor's + Master's degree in Medicine and Surgery

SYNCOPE (T-LOC): Reflex (neurally-mediated) syncope; Orthostatic hypotension (primary and secondary autonomic failure, drug-induced OH, volume depletion); Cardiac syncope (cardiovascular)  (Corso Elettivo)

Course code
4S001141
Name of lecturer
Francesca Paluani
Coordinator
Francesca Paluani
Number of ECTS credits allocated
1
Academic sector
MED/09 - INTERNAL MEDICINE
Language of instruction
Italian
Period
Corsi elettivi 2° semestre dal Feb 22, 2016 al May 27, 2016.

Lesson timetable

Corsi elettivi 2° semestre

Not inserted.

Learning outcomes

PATHOPHYSIOLOGY
Syncope is defined as transient loss of consciousness due to reduced cerebral blood flow. The differentiation of syncope from seizure is an important, sometimes difficult, diagnostic problem.
The treatment of syncope is directed toward the underlying cause
Disorder of autonomic control of the heart and circulation share common pathophysiologic mechanisms: a cardioinhibitory component (e.g., bradycardia due to increased vagal activity), a vasodepressor component (e.g., inappropriate vasodilatation due to sympathetic withdrawal), or both.
Vasovagal syncope is associated with both sympathetic withdrawal (vasodilatation) and increased parasympathetic activity (bradycardia), whereas vasodepressor syncope is associated with sympathetic withdrawal alone. Cardiac syncope results from a sudden reduction in cardiac output, caused most commonly by a cardiac arrhythmia.
In patients with unexplained recurrent syncope, an attempt to reproduce an attack may assist in diagnosis (tilt table testing)..
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STUDENT MODULE EVALUATION - 2015/2016






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