MANAGEMENT OF SYNCOPE IN THE ELDERLY

Basit Öğe Kaydı
dc.contributor.authorSahin, Sevnaz
dc.contributor.authorAkcicek, Fehmi
dc.date.accessioned2019-10-27T21:18:44Z
dc.date.available2019-10-27T21:18:44Z
dc.date.issued2010
dc.departmentEge Üniversitesien_US
dc.description.abstractSyncope in elderly patients is a clinical syndrome frequently observed both in emergency rooms and outpatient clinics and it may cause mortality depending on the etiology. The main pathology at the background is global cerebral hypoperfusion. Although syncope may be seen at all age groups, it is more common in older ages. Age-associated changes in various physiological parameters contribute to development of syncope in the elderly and the underlying etiology determines its prognosis. Among the many types of syncope in the elderly, cardiac syncope is the primary syndrome resulting in increased mortality. Therefore, identification of the etiology is very important in the management of syncope. When detailed anamnesis, physical examination and EKG are inadequate for the diagnosis of an elderly syncope patient, further invasive or noninvasive examination should be performed. In the case of syncope related to neural pathways, nonpharmacological approaches are preferred. Physicians should evaluate all the medications the patient is using and the withdrawal or reduction of culprit medication should be considered. Patients must be informed about the reasons and triggers of syncope. Patients with cardiac syncope require specific treatment and an implantable cardiac defibrillator (ICD) may be life saving for appropriate indications. Syncope in the elderly is an important geriatric syndrome that requires comprehensive assessment, rapid diagnosis and treatment.en_US
dc.identifier.endpage217en_US
dc.identifier.issn1304-2947
dc.identifier.issn1307-9948
dc.identifier.issue3en_US
dc.identifier.startpage208en_US
dc.identifier.urihttps://hdl.handle.net/11454/44034
dc.identifier.volume13en_US
dc.identifier.wosWOS:000282657400012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherGunes Kitabevi Ltd Stien_US
dc.relation.ispartofTurkish Journal of Geriatrics-Turk Geriatri Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectElderlyen_US
dc.subjectSyncopeen_US
dc.subjectVasovagalen_US
dc.subjectCardiacen_US
dc.titleMANAGEMENT OF SYNCOPE IN THE ELDERLYen_US
dc.typeReview Articleen_US

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