Algorithm for managing older patients with syncope based on the guidelines of the European Society of Cardiology «Syncope» published in the Russian Journal of Cardiology in 2019
https://doi.org/10.37586/2686-8636-1-2023-67-74
Abstract
Syncope is a short-term transient loss of consciousness associated with a decrease or cessation of blood supply to the brain. Syncope is one of the causes of falls in older patients, leading to increased hospitalizations and deaths. There is an increased susceptibility to syncope with advancing age and sometimes it occurs with no identifiable cause. Orthostatic hypotension, carotid sinus syndrome, neuromediated syncope, structural heart disease, and cardiac arrhythmias are the common contributors to syncope in older adults. Given the high risk in this group of patients, a structured and integrated approach to the management of older patient with syncope is required. Implementing the algorithm for the management of such patients allows us to evaluate the syncope cause, assess the risk and choose the optimal treatment for older patients.
About the Authors
O. N. Tkacheva
Pirogov Russian National Research Medical University, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Tkacheva Olga N., MD, PhD, professor, corresponding
member of the Russian Academy of Sciences, Director
Moscow
Yu. V. Kotovskaya
Pirogov Russian National Research Medical University, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Kotovskaya Yulia V., MD, PhD, professor, Deputy Director
Moscow
K. A. Eruslanova
Pirogov Russian National Research Medical University, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Eruslanova Ksenia A., MD, PhD, Head of Laboratory
of Cardiovascular Aging
Moscow
E. R. Alimova
Pirogov Russian National Research Medical University, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Alimova Ekaterina R., MD, cardiologist, junior researcher,
Laboratory of Cardiovascular Aging, Russian Gerontology
Research and Clinical Centre
Moscow
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Review
For citations:
Tkacheva O.N., Kotovskaya Yu.V., Eruslanova K.A., Alimova E.R. Algorithm for managing older patients with syncope based on the guidelines of the European Society of Cardiology «Syncope» published in the Russian Journal of Cardiology in 2019. Russian Journal of Geriatric Medicine. 2023;(1):67-74. (In Russ.) https://doi.org/10.37586/2686-8636-1-2023-67-74
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