Cardiac and Vascular Causes of Syncope and Atherosclerosis.
Rose Mary Ferreira Lisboa da SilvaJosep BrugadaPublished in: Current cardiology reports (2022)
Cardiac syncope may have a frequency of up to 34% in elderly people. Atherosclerosis-related causes of cardiac and vascular syncope may be due to cardiac arrhythmia and/or structural impairment of the heart or arteries. Late ventricular tachycardia and late-onset high-grade atrioventricular block associated with myocardial ischemia may occur with syncope, which is related to higher mortality. Besides ventricular dysfunction, concentric remodeling is also a prognostic factor. In calcific degenerative aortic stenosis, syncope carries a worse prognosis than the other cardinal signs. Cardiac syncope has a high recurrence and mortality rate. There are red flag alerts that must be considered in risk stratification.
Keyphrases
- left ventricular
- pulmonary embolism
- aortic stenosis
- late onset
- high grade
- heart failure
- prognostic factors
- cardiovascular disease
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- aortic valve replacement
- early onset
- ejection fraction
- aortic valve
- cardiovascular events
- oxidative stress
- coronary artery disease
- catheter ablation
- free survival