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An 84-Year-Old Woman with Syncope and Orthostatic Dizziness

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Cardiac Electrophysiology

Abstract

An 84 year old woman experiences episodes of orthostatic dizziness. Diagnosis and management are discussed.

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References

  1. Kapoor WN, Karpf M, Wieand S, Peterson JR, Levey GS. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 1983;309:197–204.

    Article  CAS  Google Scholar 

  2. Joy PS, Kumar G, Olshansky B. Syncope: outcomes and conditions associated with hospitalization. Am J Med. 2017;130:699–706 e6.

    Article  Google Scholar 

  3. Brignole M, Moya A, de Lange FJ, Deharo JC, Elliott PM, Fanciulli A, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018;39:1883–948.

    Article  Google Scholar 

  4. Shen WK, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, et al. 2017 ACC/AHA/HRS Guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2017;136:e60–e122.

    Google Scholar 

  5. Olshansky B. A Pepsi challenge. N Engl J Med. 1999;340:2006.

    Article  CAS  Google Scholar 

  6. Goldschlager N, Epstein AE, Grubb BP, Olshansky B, Prystowsky E, Roberts WC, et al. Etiologic considerations in the patient with syncope and an apparently normal heart. Arch Intern Med. 2003;163:151–62.

    Article  Google Scholar 

  7. Gawande A. The checklist manifesto: how to get things right. London: Profile Books; 2011.

    Google Scholar 

  8. Garcia-Civera R, Ruiz-Granell R, Morell-Cabedo S, Sanjuan-Manez R, Perez-Alcala F, Plancha E, Navarro A, et al. Selective use of diagnostic tests inpatients with syncope of unknown cause. J Am Coll Cardiol. 2003;41:787–90.

    Article  Google Scholar 

  9. Krahn AD, Morillo CA, Kus T, Manns B, Rose S, Brignole M, et al. Empiric pacemaker compared with a monitoring strategy in patients with syncope and bifascicular conduction block—rationale and design of the Syncope: Pacing or Recording in ThE Later Years (SPRITELY) study. Europace. 2012;14:1044–8.

    Article  Google Scholar 

  10. Kwoh CK, Beck JR, Pauker SG. Repeated syncope with negative diagnostic evaluation. To pace or not to pace? Med Decis Making. 1984;4:351–77.

    Article  CAS  Google Scholar 

  11. Santini M, Castro A, Giada F, Ricci R, Inama G, Gaggioli G, et al. Prevention of syncope through permanent cardiac pacing in patients with bifascicular block and syncope of unexplained origin: the PRESS study. Circ Arrhythm Electrophysiol. 2013;6:101–7.

    Article  Google Scholar 

  12. Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, et al. 2018 ACC/AHA/HRS Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay. Circulation. 2018. https://doi.org/10.1016/j.jacc.2018.10.043.

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Correspondence to Samuel L. Johnston .

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Johnston, S.L., Torgerson, J.J., Tosic, A., Olshansky, B. (2020). An 84-Year-Old Woman with Syncope and Orthostatic Dizziness. In: Natale, A., Wang, P., Al-Ahmad, A., Estes, N. (eds) Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28533-3_15

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  • DOI: https://doi.org/10.1007/978-3-030-28533-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28531-9

  • Online ISBN: 978-3-030-28533-3

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