Elderly patient with syncope: the clinical case

Authors

  • Aleksandr Korneev St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation ; North-West Centre for the Diagnosis and Treatment of Arrhythmias, 40, ul. Lunacharskogo, St. Petersburg, 194356, Russian Federation https://orcid.org/0000-0002-6796-8302
  • Mikhail Medvedev St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation ;North-West Centre for the Diagnosis and Treatment of Arrhythmias, 40, ul. Lunacharskogo, St. Petersburg, 194356, Russian Federation
  • Yuri Shubik St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation ; North-West Centre for the Diagnosis and Treatment of Arrhythmias, 40, ul. Lunacharskogo, St. Petersburg, 194356, Russian Federation https://orcid.org/0000-0002-8736-1575

DOI:

https://doi.org/10.21638/spbu11.2024.201

Abstract

Recurrent syncope in the elderly is of particular concern to the clinician. Differential diagnosis
of syncope in such patients presents significant difficulties due to high comorbidity. For patients
over 70 years old, an increased number of syncopal episodes is typical; syncope becomes one of the leading reasons for their emergency hospitalization. The importance of determining the exact cause of syncope in this case cannot be overestimated: frequent falls significantly reduce the quality of life and can lead to serious injuries or even be fatal. Therefore, today it is critically important to have modern diagnostic methods that can help determine the etiology of syncope. The presented clinical case demonstrates a diagnostic search using continuous non-invasive “beat-to-beat” blood pressure measurement methods during such provocative
tests as a passive orthostatic test and a carotid sinus massage. This technique is used routinely in the USA and European countries but is not enough widespread in the Russian Federation. Such a tool may simplify the differential diagnosis of syncope.

Keywords:

transient loss of consciousness, syncope, carotid sinus massage, tilt table testing, carotid sinus syndrome, beat-to-beat blood pressure measurement

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References

Литература

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Published

2024-10-15

How to Cite

Korneev, A., Medvedev, M., & Shubik, Y. (2024). Elderly patient with syncope: the clinical case. Vestnik of Saint Petersburg University. Medicine, 19(2), 108–117. https://doi.org/10.21638/spbu11.2024.201

Issue

Vol. 19 No. 2 (2024)

Section

Cardiology

License

Articles of "Vestnik of Saint Petersburg University. Medicine" are open access distributed under the terms of the License Agreement with Saint Petersburg State University, which permits to the authors unrestricted distribution and self-archiving free of charge.