Syncope
Red flags
- Syncope during exertion -> structural cardiac disease (aortic stenosis, HOCM) - do not miss
- Syncope with chest pain, palpitations preceding, or no prodrome (sudden collapse) -> cardiac/arrhythmic cause
- Family history of sudden cardiac death <40 years, or known channelopathy/cardiomyopathy
- Abnormal ECG - long/short QT, Brugada pattern, WPW, high-grade block, evidence of prior MI
- Syncope while supine or seated - reduces likelihood of simple vasovagal/orthostatic cause
- Injury sustained (suggests no/brief prodrome - higher-risk mechanism)
7 more sections, plus exam facts
Premium unlocks every note across every specialty, and the full exam fact library behind it.
Get premium access