SÍNCOPE / LIPOTIMIA

Diego Herrera, David Gaus, Carlos Troya, Miguel Obregón, Alicia Guevara, Sara Romero

Resumen


La evaluación de síncope en sala de emergencias está orientada  buscar causas cardiacas amenazantes de la vida del paciente. La regla de San Francisco es de utilidad para reconocer algunos factores de riesgo. Entre las causas graves de síncope se encuentran: hemorragia subaracnoidea, síndrome coronario agudo, disección aórtica, aneurisma de aorta abdominal, embarazo ectópico accidentado, etc.


Palabras clave


síncope cardíaco, síncope neurológico, regla de San Francisco

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Referencias


Linzer M, Yang EH, Estes NAIII, Wang P, Vorperian VR, Kapoor WN. Diagnosing syncope. Part 1: value of history, physical examination, and electrocardiography. Clinical Efficacy Assessment Project of the American College of Physicians. Ann Intern Med 1997;126:989-996.

MJ Matthew J Reed, DE David E Newby, AJ Andrew J Coull, RJ Robin J Prescott, KG Keith G Jacques, AJ Alasdair J Gray. The ROSE (risk stratification of syncope in the emergency department) study. Journal of the American College of Cardiology 2010;55:713-721.

Summaries for patients: management of transient loss of consciousness: National Institute for Health and Clinical Excellence guideline. Annals of internal medicine 2011;155:I38.

MJ Matthew J Reed, DE David E Newby, AJ Andrew J Coull, RJ Robin J Prescott, KG Keith G Jacques, AJ Alasdair J Gray. The ROSE (risk stratification of syncope in the emergency department) study. Journal of the American College of Cardiology 2010;55:713-721.

Quinn J, McDermott D, Stiell I, et al. Prospective validation of the San Francisco Syncope Rule to predict patients with serious outcomes. Ann Emerg Med. 2006;47(5):448-54.


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