Syncope: cardiac investigations

Evidence-based neurology checklist on syncope: cardiac investigations: Postural blood pressure testing The blood pressure (BP) and heart rate after measured after 5 minutes of lying supine They are then checked at 1 and 3 minutes after standing The BP is measured with the arm outstretched A…

Postural blood pressure testing

  • The blood pressure (BP) and heart rate after measured after 5 minutes of lying supine
  • They are then checked at 1 and 3 minutes after standing
  • The BP is measured with the arm outstretched
  • A positive test is a systolic BP fall of ≥20mmHg or a diastolic BP fall of ≥10mmHg

Echocardiography

Loop recorder

Other tests

References

  1. Gibbons CH, Schmidt P, Biaggioni I, et al. The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension. J Neurol 2017; 264:1567-1582. 
  2. Grubb BP. Neurocardiogenic syncope and related disorders of orthostatic intolerance. Circulation 2005; 111:2997-3006.
  3. Sarasin FP, Junod AF, Carballo D, Slama S, Unger PF, Louis-Simonet M. Role of echocardiography in the evaluation of syncope: a prospective study. Heart 2002; 88:363-467.
  4. And 0 more. Subscribe to see the full list

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