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Common Differential Diagnosis in Neurocardiogenic Syncope
Common Differential Diagnosis in Neurocardiogenic Syncope
1- Arrhythmias
Channelopathies
Complete heart block
Sick sinus syndrome
Tachyarrhythmias: supraventricular tachycardia, ventricular tachycardia
Wolff-Parkinson-White syndrome
2- Cardiac: structural
Cardiomyopathy: hypertrophic/dilated
Coronary artery anomalies
Tumor
Left ventricular outflow obstruction
Primary pulmonary arterial hypertension
Eisenmenger syndrome
Mitral valve prolapse
Arrhythmogenic right ventricular dysplasia
3- Medications
Recreational (illegal)
Antiarrhythmic
Diuretics
Vasodilators
Producing QT prolongation
4- Neurologic
Seizure
Vertigo
Migraine
Tumor
5- Psychiatric
Conversion reaction
Panic attack
Hysteria
Hyperventilation
6- Metabolic
Hypoxia
Hypoglycemia
From Strieper MJ. Distinguishing benign syncope from life-threatening cardiac causes of syncope.