The discussion is about electrocardiogram findings as they relate to cardiogenic syncope which is a cause of syncope. The paper should start with a definition of syncope The areas I want addressed in this paper are the following 1. Definition of Syncope: Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. This is a universal definition which can be sited from any source. 2. The classification of syncope into Neurally Mediated, Cardiac and orthostatic hypotension mediated. Speak about the pathophysiology of each, not in exhaustive detail however a very focused directed understanding of the pathophysiology. Make certain to address the subheadings under each classification and please give examples within each sub category. Please include the attachment regarding the classification, making reference to it .It will be labeled as classification picture. ***Be certain to emphasize the fact that neurally mediated is the most common however cardiac is associated with increased morbidity and motality. This fact is important to get across. 3. Incidence as it pertains to Emergency Room visits with associated hospital rates and cost. If the exact figures for these can’t be found a rough estimation is fine. I will provide article with some of these figures. 4. Diagnostic approach to syncope (article to use: Syncope: Evaluation and Differential Diagnosis)-I have included a picture which should be a good algorithm to follow. It can be placed in the discussion as well. Going from the initial evaluation please make mention to pertinent questions in the history and pertinent examination findings. Highlight some of the historical information listed in Table 3 of the article; you can divide it into if the patient has pre-existing disease or if there is a prodrome. Mention orthostatic pressure readings and what a positive test is in terms of blood pressure differences. As for laboratory testing, you don’t have to include anything specific, just make mention that it is, as indicated and rarely helpful. This particular point can be referenced back to this article. Go through the algorithm in a systematic fashion, making note that history and physical examination findings will guide you as to which category to appropriately classify the patient as. Make note that ALL patients will receive an electrocardiogram. Make mention of the workup for Orthostatic and neutrally mediated syncope with mention of their diagnostic testing but the emphasis here will be on the Can’t miss EKG findings as it relates to syncope. Please make a seemless transition into this. The list isn’t exhaustive but state that some of the more common causes include: -Brugada Syndrome -Hypertrophic Cardiomyopathy -Arrhythmogenic right ventricular dysplasia -Pulmonary Embolism -Prolonged QT Syndrome -Wolff Parkinson White Syndrome -Short QT Syndrome I will include ECG pictures of each type which will be labeled and included in the section in which they are being discussed. I will have an article to go along with each type of EKG abnormality. Please include a second current article regarding each EKG abnormality. **I DO NOT want stat pearls, pub med or a website sited as a source for anything in this discussion** As for each ECG make mention of the general features, EKG features/clinical criteria And clinical significance. I will provide some information regarding this but some extra should come from the articles. At the end of each particular EKG section include general treatment options. For example after going through Brugada syndrome with its general features, ekg features etc, speak about treatment options to manage it. I will be including the pictures and articles today along with the ekg criteria. Please list references in Vancouver Style Please proof-read this
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