Syncope
Abstract
Syncope is a common clinical problem accounting for 3% of all emergency room visits and 1% to 6% of all hospital admissions. Both a sign and a symptom, syncope can be caused by a wide variety of conditions. Syncope in the geriatric patient can be a particularly challenging problem because of the coexistence of multiple possible causative pathologic conditions in the same individual. This article reviews the causes, evaluation, and management of syncope in the elderly.
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An increased probability of developing multiple concurrent morbidities (with their associated pharmacological treatments) that can overwhelm homeostasis increases vulnerability of older adults to syncope.
“The vulnerability of older adults to syncope increases because of age-associated cardiovascular and autonomic changes, decreased fluid conservation (45,671,676–678), and an increased probability of developing multiple concurrent morbidities (with their associated pharmacological treatments) that can overwhelm homeostasis.”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [677]
Decreased fluid conservation increases vulnerability of older adults to syncope.
“The vulnerability of older adults to syncope increases because of age-associated cardiovascular and autonomic changes, decreased fluid conservation (45,671,676–678), and an increased probability of developing multiple concurrent morbidities (with their associated pharmacological treatments) that can overwhelm homeostasis.”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [677]
Age-associated cardiovascular and autonomic changes increase vulnerability of older adults to syncope.
“The vulnerability of older adults to syncope increases because of age-associated cardiovascular and autonomic changes, decreased fluid conservation (45,671,676–678), and an increased probability of developing multiple concurrent morbidities (with their associated pharmacological treatments) that can overwhelm homeostasis.”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [677]
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References 55 · Cited by 16
- Authors
- Grubb, B. P., & Karabin, B.
- Affiliations
- University of Toledo (US)
- Corresponding author
- Grubb, Blair P.
- ORCID
- Grubb, Blair P.
- Venue
- Clinics in Geriatric Medicine
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 28
- Issue
- 4
- Pages
- 717-728
- ISSN
- 0749-0690 (ISSN-L)
- OpenAlex
- W198947466
- Cited by
- 16
- References
- 55
- Citations by year
- 2025: 2 · 2023: 1 · 2021: 1 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 3
- FWCI
- 0.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinics in Geriatric Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- syncope, elderly patients, older adults, syncope evaluation, syncope management, emergency department visits, hospitalization
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Emergency Service, Hospital, Geriatrics, Humans, Physical Examination, Syncope
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