[Syncope].

Abstract

Syncope may be nothing more than a run of the mill faint, or a precursor of sudden cardiac death. In persons with a healthy heart, it usually has an autonomic-nervous (vasovagal) genesis; when structural heart disease is present it is often rhythmogenic. For diagnostic purposes, the tilt-table is indicated when neurocardiogenic syncope is suspected, and an electrophysiological investigation or long-term monitoring of cardiac rhythm (implantable loop recorder) if rhythmogenic syncope is suspected. Neurocardiogenic syncope is treated by providing the patient with relevant information, orthostatic training, increased intake of fluids and, where necessary, medication. In the case of the prognostically serious rhythmogenic syncope, the underlying rhythm disorders are treated in accordance with current recommendations.