Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs SVR
Heart
 • Pump > AS, HOCM, PE, pHTN, Tamponade
 • Fluid > low like Gl loss, shunting like subclavian steal syndrome
 • Rhythm > fast or slow
SVR
 • Too much para > vasovagal, situational, carotid hypersensitivity and others <3
 • Too little sympa > meds, diabetes, Parkinson (+), AL amyloidosis and other

#Syncope #differential #diagnosis #mimics