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Aug 7, 2016 9 min

Syncope

from EM Clerkship Hosted by Zack Olson, MD and Michael Estephan, MD

6 EKG Findings. 6 Risk Factors. 6 Mimics. Step 1: Get an EKG * This is the only “required” test for a patient with syncope* Other common tests* CBC* Evaluate for anemia* hCG* If patient might be pregnant Step 2: Look For 6 High Risk EKG Patterns * Mnemonic: QT-BRIDE* QT prolongation* Especially QTc >500* Brugada pattern* Right heart strain* Tachycardia* S1Q3T3* Inverted T waves precordial leads* Ischemic changes* ST segment elevation/depression* T wave inversion* Delta waves* Seen in Wolf-Parkinson White (WPW)* Epsilon waves* Seen in arrhythmogenic right ventricular dysplasia (ARVD) Step 3: Ask the 6 High Risk Historical Questions * Mnemonic: CHESS +1* Cardiac history* CHF* Structural heart disease* Hematocrit (LITFL)* Brugada Syndrome (LITFL)* Right Heart Strain (LITFL)* Delta Wave (LITFL)* Epsilon Wave (LITFL)

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Syncope

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This episode was published on August 7, 2016.

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