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Paul Krediet shows how physical manoeuvres can prevent vasovagal syncope and near syncope from initial orthostatic hypotension.

Syncope (Pathology) --- Hypotension, Orthostatic --- Orthostatic hypotension --- Postural hypotension --- Hypotension --- Fainting --- Loss of consciousness --- Prevention.

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This book is exceptional in being devoted solely to vasovagal syncope (VVS), the most frequent cause of transient loss of consciousness in the general population. All aspects of VVS are covered, including epidemiology, pathophysiology, diagnosis and differential diagnosis, prognosis, therapy and implications for particular activities such as work, driving and physical activity. The context for the book is that about half of the population suffer from this type of loss of consciousness during their lifetime and then often call for general practitioner and/or emergency room assistance. While many pathophysiological aspects of VVS have been clarified, others remain elusive. The diagnosis of VVS may be easy, but it is sometimes challenging. From the therapeutic standpoint, few evidence-based therapies have been established and the large majority of treatments remain unsatisfactory. Vasovagal Syncope presents the latest evidence on all these issues and will be of value for internists, cardiologists, neurologists, emergency physicians and general practitioners.

Medicine & Public Health. --- Cardiology. --- Emergency Medicine. --- Neurology. --- Medicine. --- Emergency medicine. --- Médecine --- Médecine d'urgence --- Cardiologie --- Neurologie --- Medicine --- Health & Biological Sciences --- Cardiovascular Diseases --- Syncope (Pathology) --- Fainting --- Loss of consciousness --- Nervous system --- Neuropsychiatry --- Medicine, Emergency --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Heart --- Internal medicine --- Diseases --- Neurology .

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Syncope has many possible causes, but the underlying mechanism of loss of consciousness is transient insufficiency of blood-flow to the brain. The result is a temporary disturbance of brain function causing loss of consciousness and collapse. By virtue of its being due to a self-limited hemodynamic problem resulting for example from a heart rhythm problem, or a drop in blood pressure of other cause, syncope differs from other conditions that cause loss of consciousness. A multidisciplinary approach is likely to be most effective for the evaluation and treatment of syncope; often the expertise of cardiologists, neurologists, emergency medicine specialists, general practitioners, geriatricians and other clinicians is needed. However, unfortunately, each of these sub-specialties have tended to develop and use different terminology, methodology and management guidelines; this has complicated effective interaction among these various care-givers, and has made evaluation and treatment of affected patients more complex. This volume, represents a thorough multidisciplinary review of the subject, offering recommendations based on the guidelines as well as experience derived from the various sub-specialties. It begins by discussing the scientific basis behind the diverse pathophysiology of conditions that may cause syncope, and reviews the optimal clinical management pathways. Later sections of the book then take a more practical approach, defining recommendations for the practice of syncope management through case examples. The most common procedures and tests are discussed along with their indications, methodology, interpretation, and limitations. This book has been designed to fulfill the needs of the wide range of medical practitioners involved in the care of syncope patients. All specialties will benefit from the concentration on the importance of medical history taking. Emergency room physicians and internists will be aided by the focus on risk stratification. Cardiologists and cardiac electrophysiologists will find up-to-date recommendations regarding the indications for and appropriate interpretation of noninvasive and invasive cardiac testing. Neurologists and psychiatrists will find useful the sections exploring the often difficult topic of distinguishing true syncope from other important conditions that may present as transient loss of consciousness.

Syncope (Pathology). --- Unconsciousness --- Evidence-Based Practice --- Clinical Medicine --- Health Occupations --- Consciousness Disorders --- Medicine --- Disciplines and Occupations --- Neurobehavioral Manifestations --- Neurologic Manifestations --- Signs and Symptoms --- Nervous System Diseases --- Evidence-Based Medicine --- Syncope --- Pathological Conditions, Signs and Symptoms --- Diseases --- Health & Biological Sciences --- Pathology --- Cardiovascular Diseases --- Syncope (Pathology) --- Loss of consciousness. --- Blackouts (Loss of consciousness) --- Consciousness, Loss of --- Insensibility --- Unconscious state --- Fainting --- Medicine. --- Emergency medicine. --- General practice (Medicine). --- Cardiology. --- Neurology. --- Medicine & Public Health. --- General Practice / Family Medicine. --- Emergency Medicine. --- Neurologic manifestations of general diseases --- Loss of consciousness --- Family medicine. --- Medicine, Emergency --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Family practice (Medicine) --- General practice (Medicine) --- Physicians (General practice) --- Nervous system --- Neuropsychiatry --- Heart --- Internal medicine --- Neurology .