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Syncope in the Older Person

Lookup NU author(s): Dr Iain Matthews, Dr Steve Parry

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Abstract

Syncope in the older person carries a high morbidity, mortality, and health economic burden. While neurally mediated disorders and orthostatic hypotension account for the majority of syncopal episodes in this age group, about a third of causes are cardiac, predominantly arrhythmic. Clinicians need to be aware of the management of potential comorbid issues such as osteoporosis and cognitive impairment and if not in a position to act on them, ensure that appropriate specialist help is sought. Further work is needed to understand the pathophysiology and hence the management of syncope in the older patient, with ongoing studies helping to tease out some of the treatment controversies.

Publication metadata

Author(s): Matthews IG, Tresham IAE, Parry SW

Publication type: Article

Publication status: Published

Journal: Cardiology Clinics

Year: 2015

Volume: 33

Issue: 3

Pages: 411-421

Print publication date: 01/08/2015

Online publication date: 24/06/2015

Acceptance date: 01/01/1900

ISSN (print): 0733-8651

ISSN (electronic): 1558-2264

Publisher: W.B. Saunders Co.

URL: http://dx.doi.org/10.1016/j.ccl.2015.04.009

DOI: 10.1016/j.ccl.2015.04.009

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