Medicina Fluminensis, Vol. 60 No. 4, 2024.
Pregledni rad
https://doi.org/10.21860/medflum2024_321569
Guidelines for Management of Patients with Syncope in the Emergency Medicine
Ana Benvin
; KBC Rijeka, Objedinjeni hitni bolnički prijam, Rijeka, Hrvatska
Ivanka Jurica
; KBC Rijeka, Objedinjeni hitni bolnički prijam, Rijeka, Hrvatska
Ana Lanča Bastiančić
; KBC Rijeka, Klinika za bolesti srca i krvnih žila, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za internu medicinu, Rijeka, Hrvatska
Mate Lerga
; KBC Rijeka, Objedinjeni hitni bolnički prijam, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za anesteziologiju, reanimatologiju, hitnu i intenzivnu medicinu, Rijeka, Hrvatska
Nataša Mavrinac
; KBC Rijeka, Objedinjeni hitni bolnički prijam, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za anesteziologiju, reanimatologiju, hitnu i intenzivnu medicinu, Rijeka, Hrvatska
Sandro Brusich
; KBC Rijeka, Klinika za bolesti srca i krvnih žila, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za internu medicinu, Rijeka, Hrvatska
Marinka Otočan
; KBC Rijeka, Objedinjeni hitni bolnički prijam, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za anesteziologiju, reanimatologiju, hitnu i intenzivnu medicinu, Rijeka, Hrvatska
Zlatko Čubranić
; KBC Rijeka, Klinika za bolesti srca i krvnih žila, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za internu medicinu, Rijeka, Hrvatska
Martina Pavletić
; KBC Rijeka, Objedinjeni hitni bolnički prijam, Rijeka, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Katedra za anesteziologiju, reanimatologiju, hitnu i intenzivnu medicinu, Rijeka, Hrvatska
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* Dopisni autor.
Sažetak
The guideline summarizes the currently available evidence on the diagnosis and treatment of patient with syncope. The guidelines were created based on a systematic review of professional literature. Syncope is defined as a transient loss of consciousness due to cerebral hypoperfusion. It is characterized by a quick onset, short duration and complete spontaneous recovery, and is divided into reflex, orthostatic and cardiogenic. The initial evaluation of a patient begins with anamnesis and heteroanamnesis, which, as well as a physical examination including blood pressure measurement in the lying and standing position, and a 12-channel electrocardiogram are of great importance in planning further diagnostics. The goal of evaluating a patient with syncope in the emergency department is to answer three main questions: is there a serious underlying cause that can be identified, what is the risk of a severe or fatal outcome, and should the patient be admitted to hospital. Risk stratification is important for two reasons (1) identification of low-risk patients who can be safely discharged with appropriate recommendations, (2) identification of high-risk patients in whom hospitalization and further diagnostic and therapeutic procedures are indicated. Despite many attempts to introduce standardized tools for risk assessment into clinical practice, their use has not proven more successful than the good clinical judgment of an experienced physician;, hence, the importance of educating healthcare professionals in the field of emergency medicine cannot be overstated.
Ključne riječi
electrocardiography; guideline; unconsciousness
Hrčak ID:
322590
URI
Datum izdavanja:
1.12.2024.
Posjeta: 384 *