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Syncope 1451.e1



            Syncope
  VetBooks.ir                             Patient presented for evaluation of syncope






                             Cardiac disease                             No cardiac disease


             Period of cessation  Increased  Obstructive  Obstruction       Decreased          Metabolic  Overexertion
              of heartbeat not  heart rate   lesion      to cerebral          blood
               responsive to                             blood flow          pressure
                 atropine                                                                    • Hypoglycemia
                                                                                             • Anemia

                                                           Cough    Decreased         Decreased
            • Sinus node   • Ventricular   • Subaortic    syncope    cardiac          peripheral
               dysfunction/sick    tachycardia/flutter     stenosis   output           vascular   Drug-induced
               sinus syndrome  • Supraventricular  • Pulmonic                         resistance
            • High-grade     tachycardia      stenosis
               second-degree               • Pulmonary
               atrioventricular               hypertension  Sinus arrest or  Decreased
                                                           atrioventricular
               block                          including   block responsive  stroke volume
            •  Third-degree                   heartworm     to atropine
               atrioventricular               disease     (vagally induced)  • Hypovolemia  Increased
               block                       • Hypertrophic                • Cardiac    vagal tone
            •  Atrial                         cardiomyopathy               tamponade
               standstill                  •  Intracardiac  • Idiopathic
                                              neoplasia  • Mechanoreceptor
                                              or thrombus    stimulation
                                                         • Respiratory             • Mechanoreceptor
                                                           or abdominal              stimulation
                                                           disease                 • Idiopathic
                                                         • Carotid sinus
                                                           hypersensitivity
           (Modified from Kittleson MD, Kienle RD: Small animal cardiovascular medicine. St. Louis, 1999, Mosby.)














                                                                                                                      Clinical   Algorithms





















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