Syncope: Mechanisms and Management

Syncope: Mechanisms and Management is the principle text and sole source devoted to pathophysiological, clinical diagnostic and therapeutic information in this field. The second edition has been completely updated and remains the most comprehensive and useable reference ever published on this common clinical entity. It is a 'must-have' purchase providing up-to-date coverage of virtually every known cause of syncope, integrating knowledge of pathophysiology with practical guidelines for diagnosis and management. This book includes new chapters and new data from the ISSUE trial, as well as results of the multi-center trials using device therapy in patients with syncope and organic heart disease. It also contains updated information about the mechanism of neurocardiogenic syncope, carotid-sinus hypersensitivity, syncope in childhood and adolescence, chronic fatigue, orthostatic and hypotension disorders. Syncope: Mechanisms and Management is thoughtfully structured to make this large quantity of diverse information easy to digest - each section designed to stand alone while also being part of a coherent whole, forming a solid foundation for further development in this rapidly expanding and increasingly complex field.

Table of Contents:
ForewordM.E. Josephson PrefaceB.P. Grubb, B. Olshansky 1. An Overview of the Evaluation and Management of SyncopeW.N. Kapoor 2. Syncope: Overview and Approach to ManagementB. Olshansky 3. Neurocardiogenic SyncopeB.P. Grubb 4. Dysautonomic (Orthostatic) SyncopeB.P. Grubb 5. Bradyarrhythmias as a Cause of SyncopeD.G. Benditt, R. Sutton 6. Tachyarrhythmias as a Cause of SyncopeM.N. Harvey, F. Morady 7. Use of Electrophysiological Studies in Syncope: Practical Aspects for Diagnosis and TreatmentE.A. Telfer, B. Olshansky 8. Neurological and Related Causes of Syncope: The Importance of Recognition and TreatmentD. Robertson, T.L. Davis 9. Psychiatric Disorders in Patients With SyncopeW.N. Kapoor, H.C. Schulberg 10. Neurally Mediated Hypotension and the Chronic Fatigue SyndromeH. Calkins, P.C. Rowe 11. Carotid Sinus HypersensitivityA.B. Wagshal, S.K.S. Wang 12. Miscellaneous Causes of SyncopeD.J. Kosinski 13. Syncope in the Child and AdolescentB. Ross, B.P. Grubb 14. Syncope in the AthleteD.J. Kosinski 15. Syncope in the ElderlyG. Azhar, L.A. Lipsitz 16. Recurrent Unexplained Syncope: When All Else FailsA.D. Krahn, G.J. Klein, R. Yee 17. Driving and SyncopeB. Olshanski, B.P. Grubb 18. Syncope and the LawM.J. Zucker, G.J. Bloch

Review :
"Chapters 3, 5, and 8 provide particularly complete reviews of three major syncopal etiologies. Chapter 3 summarizes typical and atypical presentations of neurocardiogenic syncope, and includes a detailed description of head-upright tilt table testing. Recent clinical investigations examining therapies for neurocardiogenic syncope are discussed, in the context of postulated pathophysiologic mechanisms. Sinus node dysfunction and AV conduction disturbances are highlighted in chapter 5, along with discussions of congenital and acquired conduction system disease. Indications for pacing and electrophysiological study in the setting of bradyarrhythmias are given. Chapter 8 summarizes neurologic syndromes associated with syncope, focusing on distinguishing aspects of clinical presentation. Illustrations, tables, and case studies are effectively used throughout the text for clarification and emphasis. Although the inclusion of sample electrophysiologic study traces is helpful, abbreviated labeling of these traces may impede interpretation by non-electrophysiologists. "This text is distinguished by its comprehensive, multidisciplinary approach to the problem of syncope. Importantly, new concepts related to the pathogenesis and treatment of syncope are introduced." Doody's Review Service "This text may represent the most thorough treatment of syncope to date. ...no other publication presents as detailed and comprehensive a review of this subject." Annals of Internal Medicine ..".this is a most worthwhile addition to the cardiovascular library. It will prove interesting reading for cardiologists and internists, and a useful resource for neurologists and family physicians. For a quick approach to a patient in your office, you need read no further than the first two chapters." Canadian Journal of Cardiology ..".this book deserves a prominent place on the shelf of anyone involved in caring for the patient presenting with syncope. Whether an emergency room physician, cardiologist, internist, or neurologist, the established practitioner or trainee should make a conscientious and 'conscious' effort to read and own this book." Circulation "Overall this text is clearly written and very complete. It does highlight the complex interdisciplinary nature of syncope, and is unique in that information is presented from the perspective of neurologists, cardiologists, pediatricians, psychiatrists, and legal professionals. It is a valuable reference for all health care professionals involved in the management of these potentially complex patients." Archives of Neurology " " ""Chapters 3, 5, and 8 provide particularly complete reviews of three major syncopal etiologies. Chapter 3 summarizes typical and atypical presentations of neurocardiogenic syncope, and includes a detailed description of head-upright tilt table testing. Recent clinical investigations examining therapies for neurocardiogenic syncope are discussed, in the context of postulated pathophysiologic mechanisms. Sinus node dysfunction and AV conduction disturbances are highlighted in chapter 5, along with discussions of congenital and acquired conduction system disease. Indications for pacing and electrophysiological study in the setting of bradyarrhythmias are given. Chapter 8 summarizes neurologic syndromes associated with syncope, focusing on distinguishing aspects of clinical presentation. Illustrations, tables, and case studies are effectively used throughout the text for clarification and emphasis. Although the inclusion of sample electrophysiologic study traces is helpful, abbreviated labeling of these traces may impede interpretation by non-electrophysiologists." ""This text is distinguished by its comprehensive, multidisciplinary approach to the problem of syncope. Importantly, new concepts related to the pathogenesis and treatment of syncope are introduced."" Doody's Review Service ""This text may represent the most thorough treatment of syncope to date. ...no other publication presents as detailed and comprehensive a review of this subject."" Annals of Internal Medicine .".".this is a most worthwhile addition to the cardiovascular library. It will prove interesting reading for cardiologists and internists, and a useful resource for neurologists and family physicians. For a quick approach to a patient in your office, you need read no further than the first two chapters."" Canadian Journal of Cardiology .".".this book deserves a prominent place on the shelf of anyone involved in caring for the patient presenting with syncope. Whether an emergency room physician, cardiologist, internist, or neurologist, the established practitioner or trainee should make a conscientious and 'conscious' effort to read and own this book."" Circulation ""Overall this text is clearly written and very complete. It does highlight the complex interdisciplinary nature of syncope, and is unique in that information is presented from the perspective of neurologists, cardiologists, pediatricians, psychiatrists, and legal professionals. It is a valuable reference for all health care professionals involved in the management of these potentially complex patients."" Archives of Neurology " ""Chapters 3, 5, and 8 provide particularly complete reviews of three major syncopal etiologies. Chapter 3 summarizes typical and atypical presentations of neurocardiogenic syncope, and includes a detailed description of head-upright tilt table testing. Recent clinical investigations examining therapies for neurocardiogenic syncope are discussed, in the context of postulated pathophysiologic mechanisms. Sinus node dysfunction and AV conduction disturbances are highlighted in chapter 5, along with discussions of congenital and acquired conduction system disease. Indications for pacing and electrophysiological study in the setting of bradyarrhythmias are given. Chapter 8 summarizes neurologic syndromes associated with syncope, focusing on distinguishing aspects of clinical presentation. Illustrations, tables, and case studies are effectively used throughout the text for clarification and emphasis. Although the inclusion of sample electrophysiologic study traces is helpful, abbreviated labeling of these traces may impede interpretation by non-electrophysiologists. "This text is distinguished by its comprehensive, multidisciplinary approach to the problem of syncope. Importantly, new concepts related to the pathogenesis and treatment of syncope are introduced." "Doody's Review Service ""This text may represent the most thorough treatment of syncope to date. ...no other publication presents as detailed and comprehensive a review of this subject." "Annals of Internal Medicine .".".this is a most worthwhile addition to the cardiovascular library. It will prove interesting reading for cardiologists and internists, and a useful resource for neurologists and family physicians. For a quick approach to a patient in your office, you need read no further than the first two chapters." "Canadian Journal of Cardiology .".".this book deserves a prominent place on the shelf of anyone involved in caring for the patient presenting with syncope. Whether anb