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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.

Semin Pediatr Neurol 2005;12(1):32–8.

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