High risk syncope – Cardiology MCQ – Answer

Which of the following does not indicate a high risk feature in the history of a syncopal event?

Correct answer: d) Occurs after prolonged standing or in crowded or hot places. This indicates reflex syncope as the most likely possibility.

All the rest indicate a cardiac origin of syncope. Other associated features for a low risk syncope are being triggered by cough, defecation or micturition, during a meal or post prandial, after sudden unexpected unpleasant sight, sound, smell or pain and while getting up from supine or sitting position.

Reference

 1. Brignole M, Moya A, de Lange FJ, Deharo JC, Elliott PM, Fanciulli A, Fedorowski A, Furlan R, Kenny RA, Martín A, Probst V, Reed MJ, Rice CP, Sutton R, Ungar A, van Dijk JG; ESC Scientific Document Group. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018 Mar 19. doi: 10.1093/eurheartj/ehy037. [Epub ahead of print]

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